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Rarely, it presents with advanced complications including abscesses and fistula formations. In this article, we report a unique presentation of XGP with simultaneous upper and lower gastrointestinal bleeding in the setting of XGP with reno-gastric and reno-colic fistulas.<\/jats:p>","DOI":"10.1177\/2324709619842899","type":"journal-article","created":{"date-parts":[[2019,5,2]],"date-time":"2019-05-02T04:12:13Z","timestamp":1556770333000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Xanthogranulomatous Pyelonephritis: Synchronous Upper and Lower Gastrointestinal Bleed"],"prefix":"10.1177","volume":"7","author":[{"given":"Muhammad Usman","family":"Mirza","sequence":"first","affiliation":[{"name":"MedStar Washington Hospital Center, Washington, DC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John","family":"Van Taunay","sequence":"additional","affiliation":[{"name":"MedStar Washington Hospital Center, Washington, DC, 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