%0 Journal Article %T Pyeloduodenal Fistula in Xanthogranulomatous Pyelonephritis: A Series of Two Cases %A Fernando Pedraza %A Juan D Arenas %A Neil A Abrahams %A Rachele J Solomon %A Sara Dawoud %A Stephanie A Eyerly-Webb %A Tjasa Hranjec %J Archive of "The Permanente Journal". %D 2018 %R 10.7812/TPP/17-150 %X Xanthogranulomatous inflammation, characterized by destruction and replacement of tissues with chronic inflammatory cells, including foamy histiocytes and hemosiderin-laden macrophages, is uncommon. In patients with xanthogranulomatous pyelonephritis, inflammation may extend from the kidney to the overlying duodenum, creating a pyeloduodenal fistula that further complicates medical and surgical management. We present two cases with recurrent kidney infections who each ultimately received a nephrectomy and repair of their duodenal fistula %U https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6045498/