This case involves a 34-year-old woman who had just given birth to her second child. She presented to her physician shortly after delivery for sterilization options. After consultation, the physician inserted a Mirena IUD. However, the following year, the patient began to experience persistent cramps and abnormal bleeding. She presented to her physician who ordered a CT scan. The scan showed that the IUD’s right arm was extending outside the confines of the uterus and thus perforated the uterine body.