PMC5343291_01
The calcific mass floating independently in abdomen and right kidney mass were diagnosed. (a) Computed tomography revealed a calcific mass with 7 cm diameter that was making pressure on bladder. (b) There was right kidney cyst with 5.3 cm diameter on the upper pole in computed tomography scan. (c) The kidney cyst was decorticated during laparoscopic surgery. (d) The free mass was observed simultaneously in laparoscopic surgery. (e) The mass was taken out directly; there was no attachment around other tissues. (f) The mass was divided into half; it was very rigid.
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fig1
Enhanced computed tomography (CT) supported the US findings (Figures 1(a) and 1(b)). After uncovering the kidney cyst, blunt and sharp dissections were continued up to normal renal parenchyma (Figure 1(c)). However, radiology reported that the mass did not change its place during movements; a free-floating white colored mass was observed in the small intestine above the bladder during laparoscopy (Figure 1(d)). The optic trocar point was expanded, and the mass was easily removed because of its unattached independent origin (Figures 1(e) and 1(f)).
Benign mesenchymal cells and inflammatory elements with a few calcifications periphery of the material are remarkable (H&E x100).
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fig2
The presence of benign mesenchymal cells and inflammatory elements, with little calcification present on the peripheral side of the mass, is remarkable (Figure 2, H&E x100).