Lymph Node Enlargement Specialist in Agra – Dr. Karan R Rawat

Retroperitoneal & Peripancreatic Lymph Node Enlargement: Causes, Symptoms & Best Treatment in Agra

When it comes to complex abdominal problems—especially retroperitoneal and peripancreatic lymph node enlargement—patients in Agra and nearby regions rely on the expertise of Dr. Karan R Rawat, one of the most trusted Gastroenterologists, General & Laparoscopic Surgeons, and Lymph Node Specialists.
At Safe Gastro & Surgery Centre, Dr. Rawat provides advanced diagnosis and treatment for various lymph node disorders affecting the abdomen.


What Are Retroperitoneal & Peripancreatic Lymph Nodes?

  • Retroperitoneal lymph nodes are located in the deep back portion of the abdomen, behind the peritoneum.

  • Peripancreatic lymph nodes surround the pancreas and are often affected in pancreatic or upper abdominal conditions.

These lymph nodes can enlarge due to infections, inflammations, gastrointestinal diseases, cancers, or systemic disorders.


Common Causes of Retroperitoneal Lymph Node Enlargement

1. Infections

  • Tuberculosis (TB) – a very common cause in India.

  • Bacterial infections from urinary tract, kidney, or GI tract.

  • Viral infections like EBV, CMV.

2. Gastrointestinal Diseases

  • Inflammatory bowel disease (Crohn’s disease).

  • Severe gastritis or duodenitis.

  • Pancreatitis & biliary diseases.

3. Malignancies (Cancers)

  • Lymphoma

  • Testicular cancer

  • Renal cell carcinoma

  • Gastrointestinal cancers (stomach, colon)

4. Autoimmune Disorders

  • Sarcoidosis

  • Systemic lupus erythematosus

  • Autoimmune pancreatitis

5. Metastatic Spread

Cancer from nearby organs can spread to retroperitoneal nodes.


Causes of Peripancreatic Lymph Node Enlargement

These lymph nodes are enlarged mainly due to:

1. Acute or Chronic Pancreatitis

The most common cause; inflammation of the pancreas activates lymph nodes.

2. Pancreatic Tumors

Nodes may enlarge because of:

  • Pancreatic adenocarcinoma

  • Neuroendocrine tumors

  • Cystic pancreatic lesions

3. Infections

  • Pancreatic abscess

  • Viral infections

  • TB involving abdominal nodes

4. Gallbladder & Biliary Tract Diseases

Gallstones or bile duct obstruction can trigger lymph node reaction.

5. Systemic Illness

Lymphoma, sarcoidosis, autoimmune pancreatitis may cause peripancreatic lymphadenopathy.


Symptoms Patients May Experience

Lymph node enlargement may show:

  • Persistent abdominal pain

  • Back pain

  • Fever, night sweats

  • Unexplained weight loss

  • Loss of appetite

  • Vomiting or indigestion

  • Jaundice (if pancreas or bile ducts affected)


Diagnosis by Dr. Karan R Rawat

At Safe Gastro & Surgery Centre, Dr. Rawat uses advanced tools:

  • Ultrasound abdomen

  • Contrast-enhanced CT scan

  • MRI abdomen

  • Tumor markers

  • Biopsy / FNAC if required

  • Endoscopic ultrasound (EUS) guidance when needed

His precise evaluation ensures early detection of malignancy, infections, or systemic diseases.


Treatment Approach

Treatment depends on the underlying cause:

✅ For infections

Antibiotics, anti-TB medication, antivirals.

✅ For inflammation

Pancreatitis treatment, diet modification, pain control, hydration.

✅ For cancers

Referral for oncology management, surgery, targeted therapy.

✅ For autoimmune causes

Steroids, immunomodulators.

✅ For GI causes

Treatment of ulcers, gallstones, liver diseases, or intestinal disorders.

Dr. Karan R Rawat provides comprehensive medical & surgical solutions tailored to each patient.


Why Choose Dr. Karan R Rawat?

  • Experienced Gastroenterologist & Hepatologist in Agra

  • Expert in laparoscopic & GI surgery

  • Specializes in abdominal lymph node disorders

  • Advanced diagnostics & minimally invasive care

  • Trusted by thousands of patients across Agra, Mathura, Firozabad, Aligarh, Bharatpur & nearby areas


📍 Conclusion

Retroperitoneal and peripancreatic lymph node enlargement can indicate infections, inflammation, or serious diseases. Early evaluation by an expert is essential.

For accurate diagnosis and world-class treatment, visit:

✅ Dr. Karan R Rawat – Gastroenterologist, Laparoscopic & General Surgeon,
Lymph Node Specialist in Agra