[Perforation of the large intestine caused by a type 7 medicated copper IUD]

A case of large bowel perforation at sigmoides level, secondary to application of a "medicated" intrauterine contraceptive device (IUD), Copper-7, is presented. This variety of IUD translocated to peritoneal cavity may provoke peritoneal or omental adhesions, volvulus, uterocutaneous fistula and bowel perforation, which involves a significant morbidity. The diagnosis is often delayed and difficult to establish, but, once knowing the exact location of ectopic IUD, it is justified the immediate removal from the peritoneal cavity by either laparoscopy or laparotomy with the utilization of prophylactic antimicrobials for colon preparation before elective surgery.