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

Rahman Syed; Mehtab Alam; Suleman Shah; Mian Gul Rahman; Mohammed Abdullah Hamedan Al Maqbali; Bilal Iqbal; Mohammed Al Sinani

doi:10.1002/ccr3.73717

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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

Rahman Syed, Mehtab Alam, Suleman Shah, Mian Gul Rahman, Mohammed Abdullah Hamedan Al Maqbali, Bilal Iqbal, Mohammed Al Sinani

Clinical Case Reports2026doi:10.1002/ccr3.73717

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Abstract

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.

Authors

Rahman Syed#1 Mehtab Alam#3 Suleman Shah#4 Mian Gul Rahman#5 Mohammed Abdullah Hamedan Al Maqbali#6 Bilal Iqbal#7 Mohammed Al Sinani#8

Institutions

Imperial College London

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External reference records

10.1016/j.cgh.2017.06.037

10.1097/mog.0b013e32830edc1e

10.1016/j.amjmed.2005.08.044

10.5409/wjcp.v10.i4.53

10.1001/jamapediatrics.2013.3858

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10.1182/blood‐2006‐07‐031104

10.1007/s12016‐008‐8086‐x

10.1309/evxt‐851x‐whlc‐rlx9

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