Introduction: Intrauterine contraceptive device, IUCD are reversible long-acting and effective methods of contraception which are widely used. Despite having an impeccable pearl index, they seldomly fail and when they do, are associated with some complications. This case presentation describes an uncommon location of a translocated IUCD into the fimbrial end of the fallopian tube

Case presentation: A 28-year-old primiparous who presented at an estimated gestational age of 12 weeks with a pelvic ultrasound scan which showed a live intrauterine gestation with an extrauterine IUCD, seen at the right adnexa. Pregnancy was allowed to continue and the IUCD was retrieved following an abdominal delivery at term.

Discussion: Despite the effectiveness of IUCD, complications can occur albeit rarely. They include expulsion, perforation and migration. IUCD migration is extremely uncommon, especially translocation into the fallopian tube, which according to Alyssa et al., only one of such case has been described in the literature which resulted in pyosalpinx.

Conclusion: Personnel involved in providing family planning services should continuously undergo training and re-training. Also, the role of follow-up reviews should not be downplayed and time-to-time self-examination of the IUCD string is important in order to detect a missing IUCD.