Removal of levonorgestrel capsules from the biceps muscle

Multiple levonorgestrel implants were identified and removed from below the biceps fascia using radiography to assist in localization, axillary block for anesthesia, careful dissection, and palpation of the implants within the deep muscle belly. This difficult implant removal demonstrates the importance of both a clinician experienced in levonorgestrel implant removal and a general surgeon experienced in arm surgery when performing such procedures.