0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
ARTICLE |

EXTRARECTAL MASSES CAUSED BY TUMORS OF THE RECTO-UTERINE OR RECTOVESICAL SPACE

LOUIS A. BUIE, M.D.; RAYMOND J. JACKMAN, M.D.; PAUL M. VICKERS, M.D.
JAMA. 1941;117(3):167-169. doi:10.1001/jama.1941.02820290009003.
Text Size: A A A
Published online

An extrarectal mass in the recto-uterine or rectovesical space is encountered frequently in the course of routine digital examination of the rectum. The significance of the mass seldom is recognized, and it is sometimes confused with primary carcinoma of the rectum. Because of the prognostic and diagnostic importance of extrarectal tumors, digital and proctoscopic examination should not be omitted in cases of obscure abdominal disease.

In 1895, Strauss,1 discussing some cases of operative carcinoma of the stomach, stated: "Carcinomatous metastases in the liver were found at operation in this case, also in the retroperitoneal tissue, and in Douglas' pouch. The latter situation we have found repeatedly as a site of metastases in carcinoma of the stomach and which on account of its accessibility to digital exploration merits more frequent attention during examination." This is the first mention that we have found in the literature of malignant growths in the pelvis secondary to primary gastric carcinoma; the importance of these growths was overlooked for fourteen years, until Blumer's 2 description in 1909. Since then "Blumer's shelf" has been mentioned frequently (figs. 1, 2 and 3). According to Blumer's original article, the

Topics

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

First Page Preview

View Large
First page PDF preview

First Page Preview

View Large
First page PDF preview

Figures

Tables

References

CME
Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

Customize your page view by dragging & repositioning the boxes below.

Jobs
brightcove.createExperiences();