Blumer's shelf
In medicine, Blumer's shelf is a finding felt in rectal examination that indicates that a tumor has metastasized to the pouch of Douglas. It is usually a site of metastasis of cancers of the lung, pancreas, and stomach.[1]
Blumer's shelf or peritoneal cul-de-sac, is a shelf palpable on rectal or vaginal examination. It is due to metastatic tumor cells gravitating from an abdominal cancer and growing in the rectovesical or rectouterine pouch.
Synonym(s): rectal shelf
References
- ↑ Layke, JC; Lopez, PP (1 March 2004). "Gastric cancer: diagnosis and treatment options". American Family Physician. 69 (5): 1133–40. PMID 15023013.
- Blumer, G. (1909). "Rectal shelf: neglected rectal sign of value in diagnosis of obscure malignant and inflammatory disease within the abdomen." Albany Medical Annals. 30:361.
- Lynch ML, Brand MI (2005). "Preoperative evaluation and oncologic principles of colon cancer surgery". Clin Colon Rectal Surg. 18 (3): 163–73. doi:10.1055/s-2005-916277. PMC 2780098. PMID 20011299.
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