Recurrent Projectile Vomiting as the Sole Presenting Feature of Coeliac Disease With Marsh-Oberhuber Grade 3C Enteropathy in a 13-Year-Old Girl: A Case Report.

Authors

Rahman Syed, Ameer Afzal Khan, Mehtab Alam, Suleman Shah, Mian Gul Rahman, Mohammed Al Meqbaali, Bilal Iqbal, Mohammed Al Sinani

Published in

Clinical case reports. Volume 14. Issue 10. Pages e73717. Epub Oct 11, 2026.

Abstract

A 13-year-old girl presented with 4 months of recurrent projectile vomiting and weight loss without diarrhea. Investigations confirmed hypochloraemic metabolic alkalosis, strongly positive coeliac serology, nutritional deficiency, and biopsy-proven Marsh-Oberhuber Grade 3C total villous atrophy. A strict gluten-free diet resulted in clinical resolution and histological recovery to Marsh Grade 1.

PMID:
42865676
Bibliographic data and abstract were imported from PubMed on 13 Oct 2026.

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