Forgotten Intrauterine Contraceptive Device - An Unusual Cause Of Enterouterine Fistula

Intrauterine contraceptive device is one of the most popular forms of reversible contraception. Though considered as a safe method, uterine perforation and migration of IUCD into the peritoneal cavity or invasion into one of the adjacent viscera has been reported in English literature. We are presenting the case of an elderly lady presenting with persistent vaginal discharge which on investigations was found to be due to enterouterine fistula. As the lady had forgotten about the IUCD placed more than 20 year back, diagnosis could only be established only on examination of the resected specimen of entero uterine fistula. This case stresses the importance of creating awareness among the users of IUCD regarding the need for periodic examination to confirm the normal position of IUCD as well as its timely removal once family is complete.