Clinical Case Reports
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
By Rahman Syed, Ameer Afzal Khan, Mehtab Alam and 5 others.
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.
Keywords
- coeliac disease
- gluten‐free diet
- Marsh–Oberhuber classification
- projectile vomiting
- villous atrophy
- Open access
Source
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