A new technique for the removal of a transmigrated intrauterine device with rectum penetration.

The intrauterine device (IUD) is among the most common reversible contraception products available worldwide. IUDs were first introduced more than a century ago, and many designs have been developed subsequently in order to improve their safety and efficacy. The most serious complication associated with IUD insertion is uterine perforation. Although uterine perforation is a rare complication with an estimated incidence of 0 to 10 perforations per 1,000 insertions, it can cause serious morbidity and mortality. In this report, we present a rare case in which the rectal transmigration of an IUD was addressed through endoscopic removal using a rubber band traction technique and did not require surgery (1,2).