<prompt> Bloomers shelf is:Peritoneal mets palpable per rectalSupraclavicular lymph nodesAxillary lymphnodesOvarian mass  <response>: Ans a Peritoneal mets... Ref: Bailey 25thThe anterior surface of proximal 1 3rd of rectum is covered by visceral peritoneum. The peritoneal reflection is 7 to 9 cm from the anal verge in men and 5 to 7.5 cm in women. This anterior peritonealised space is so called the pouch of douglas or the pelvic cul de sac may serve as the site of so called drop metastasis from visceral tumors. These peritoneal metastasis can form a mass in the cu led sac called Bloomers shelf can be detected by per rectal examination.Sister Mary Josephs nodules- Umblical deposits in visceral tumors. 