An incidental finding of an ectopic intrauterine device (IUD) in the urinary bladder wall in a female presented with missed abortion.

Uterine perforation and migration of intrauterine devices (IUDs) are rare complications that can present significant clinical challenges. We report the case of a 28-year-old woman who came in with a missed abortion at 11 weeks of gestation and was unexpectedly found to have an IUD embedded in the wall of her urinary bladder. She had a history of 5 pregnancies and a copper IUD was inserted a year ago. Although she presented with mild vaginal bleeding, there were no typical urinary symptoms to suggest a problem. However, imaging revealed the copper IUD had migrated outside the uterus and lodged in the bladder. After managing her pregnancy complications with evacuation and curettage, plans were made for surgical removal of the IUD. This case highlights how important it is to consider IUD migration, even when urinary symptoms are not present, in patients with unexplained pelvic issues. Early detection through imaging and prompt removal of the device are essential to prevent further complications. It also emphasizes the value of regular follow-up and patient education to ensure timely identification of potential issues before they escalate.