PT - JOURNAL ARTICLE AU - Grundfest-Broniatowski, Sharon TI - Secretory villous tumor of the ampulla of Vater DP - 1986 Dec 21 TA - Cleveland Clinic Journal of Medicine PG - 357--361 VI - 53 IP - 4 4099 - http://www.ccjm.org/content/53/4/357.short 4100 - http://www.ccjm.org/content/53/4/357.full SO - Cleve Clin J Med1986 Dec 21; 53 AB - An unusual case of a malignant villous tumor of the ampulla of Vater is presented. This tumor caused a sodium- and chloride-rich secretion into the biliary tree. A percutaneous transhepatic drainage tube was inserted, and the resultant fluid loss caused hyponatremia, hypochloremia, and oliguric renal failure. Villous tumors of the ampulla may sometimes secrete large quantities of fluid in a manner analogous to rectal villous tumors.