Abstract Background Currently, the intrauterine device (IUD) is one of the most used contraceptive methods worldwide, since it has shown to be effective and reversible. One of its complications is the migration of the device, which can affect close organs by perforating them. Case We present the case of a patient who presented a colouterine fistula secondary to an IUD migration. Conclusion Laparoscopy is a surgical method that may be performed electively; it makes device removal and repair of affected organs possible with fewer complications.