“…Thus, few reported cases have linked IUD migration to acute appendicitis [ 14 , 15 ], with patients presenting appendicitis-related symptoms such as nausea, vomiting, fever, and abdominal pain. These symptoms may be accompanied by clinical signs, including abdominal tenderness in the right lower quadrant and laboratory abnormalities such as elevated white blood cell count or C-reactive protein levels [ 4 , 16 ]. Unlike previously reported cases, this report highlights a unique scenario where the patient remains almost asymptomatic, emphasizing the importance of considering emergent situations even in the absence of overt typical clinical manifestations.…”