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Monday Extraintestinal manifestations of inflammatory bowel disease are common and involve nearly every organ system. Renal and urinary involvement has been reported to occur in 4% to 23% of inflammatory bowel disease patients manifested primarily as urinary calculi, fistulas, and ureteral obstruction. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4725142/ https://www.ncbi.nlm.nih.gov/pubmed/?term=pardi+AND+renal+and+urologic+complications Parenchymal renal disease is rare but has been well documented in the form of case reports and small series describing glomerulonephritis, minimal change disease, secondary amyloidosis, and tubulointerstitial nephritis. https://www.ncbi.nlm.nih.gov/pubmed/12722045 https://www.gastrojournal.org/article/S0016-5085(02)00276-7/fulltext Renal biopsy is not frequently performed on patients with IBD, though it should be considered in patients presenting with renal insufficiency, proteinuria, or hematuria, particularly...