Blumer's shelf

Blumer's shelf, or the rectal shelf, is a finding palpable (felt) in rectal or vaginal 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] due to metastatic tumor cells gravitating from an abdominal cancer and growing in the rectovesical^[2] or rectouterine pouch.