{"id":20793,"date":"2024-04-23T14:57:08","date_gmt":"2024-04-23T12:57:08","guid":{"rendered":"https:\/\/bmscience.net\/blog\/?p=20793"},"modified":"2024-04-23T14:57:08","modified_gmt":"2024-04-23T12:57:08","slug":"lileo-meccanico-e-lileo-paralitico-in-radiologia","status":"publish","type":"post","link":"https:\/\/www.bmscience.net\/blog\/lileo-meccanico-e-lileo-paralitico-in-radiologia\/","title":{"rendered":"L&#8217;ileo meccanico e l&#8217;ileo paralitico in radiologia"},"content":{"rendered":"\n<h2 id=\"rtoc-1\"  class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Lileo_meccanico\"><\/span>L&#8217;ileo meccanico<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>L\u2019ileo meccanico rappresenta una sfida clinica significativa, essendo una condizione patologica che interrompe il normale transito intestinale. <\/p>\n\n\n\n<p>Le cause dell\u2019ileo meccanico possono essere categorizzate in base alla loro posizione all&#8217;interno del tratto intestinale:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>endoluminali<\/strong>: ostacoli interni come calcoli o fitobezoari (massa che si forma nella cavit\u00e0 intestinale o gastrica per eccessiva o ripetuta ingestione di vegetali ricchi di fibre);<\/li>\n\n\n\n<li><strong>parietali<\/strong>: alterazioni della parete intestinale, ad esempio tumori o il morbo di Crohn;<\/li>\n\n\n\n<li><strong>extraparietali<\/strong>: fattori esterni come briglie aderenziali, ernie o masse extra-intestinali.<\/li>\n<\/ul>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"alignright size-full is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"471\" height=\"458\" src=\"https:\/\/bmscience.net\/blog\/wp-content\/uploads\/2024\/04\/Caratteristiche-dellileo-meccanico.png\" alt=\"\" class=\"wp-image-20794\" style=\"width:367px;height:auto\" srcset=\"https:\/\/www.bmscience.net\/blog\/wp-content\/uploads\/2024\/04\/Caratteristiche-dellileo-meccanico.png 471w, https:\/\/www.bmscience.net\/blog\/wp-content\/uploads\/2024\/04\/Caratteristiche-dellileo-meccanico-300x292.png 300w\" sizes=\"auto, (max-width: 471px) 100vw, 471px\" \/><figcaption class=\"wp-element-caption\">Caratteristiche dell\u2019ileo meccanico. Dilatazione delle anse prossimali all&#8217;ostacolo, con riduzione o assenza del gas in quelle a valle.<\/figcaption><\/figure>\n<\/div>\n\n\n<p>Le occlusioni dell\u2019intestino tenue sono spesso il risultato di aderenze post-chirurgiche, mentre quelle del colon sono tipicamente causate da neoplasie del retto-sigma.<\/p>\n\n\n\n<p>La <span style=\"text-decoration: underline;\">diagnosi<\/span> radiologica dell\u2019ileo meccanico si basa su criteri specifici:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>dilatazione delle anse intestinali<\/strong> a monte dell\u2019ostacolo;<\/li>\n\n\n\n<li><strong>livelli idroaerei<\/strong> nelle anse distese;<\/li>\n\n\n\n<li><strong>diminuzione o assenza di gas intestinale<\/strong> a valle dell\u2019ostacolo.<\/li>\n<\/ul>\n\n\n\n<p>Nelle occlusioni del tenue, i livelli idroaerei sono numerosi e centrali, con una morfologia di \u201c<strong>scala a chiocciola<\/strong>\u201d. Per le occlusioni del colon, i livelli sono pi\u00f9 grossolani e localizzati nei quadranti periferici dell\u2019addome. In fasi avanzate, si pu\u00f2 osservare un\u2019incontinenza della valvola ileo-cecale, con livelli presenti sia nell&#8217;intestino crasso che nel tenue.<\/p>\n\n\n<div id=\"bmscience784173005\" style=\"margin-top: 15px;margin-bottom: 15px;margin-left: auto;margin-right: auto;text-align: center;\"><a href=\"https:\/\/amzn.to\/4l4RJrz\" target=\"_blank\" aria-label=\"71usyhUMe-L._SX3000_\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.bmscience.net\/blog\/wp-content\/uploads\/2025\/06\/71usyhUMe-L._SX3000_.jpg\" alt=\"\"  srcset=\"https:\/\/www.bmscience.net\/blog\/wp-content\/uploads\/2025\/06\/71usyhUMe-L._SX3000_.jpg 2311w, https:\/\/www.bmscience.net\/blog\/wp-content\/uploads\/2025\/06\/71usyhUMe-L._SX3000_-300x63.jpg 300w, https:\/\/www.bmscience.net\/blog\/wp-content\/uploads\/2025\/06\/71usyhUMe-L._SX3000_-1024x217.jpg 1024w, https:\/\/www.bmscience.net\/blog\/wp-content\/uploads\/2025\/06\/71usyhUMe-L._SX3000_-768x163.jpg 768w, https:\/\/www.bmscience.net\/blog\/wp-content\/uploads\/2025\/06\/71usyhUMe-L._SX3000_-1536x325.jpg 1536w, https:\/\/www.bmscience.net\/blog\/wp-content\/uploads\/2025\/06\/71usyhUMe-L._SX3000_-2048x433.jpg 2048w\" sizes=\"auto, (max-width: 2311px) 100vw, 2311px\" width=\"2311\" height=\"489\"  style=\"display: inline-block;\" \/><\/a><\/div>\n\n\n<p>Il <strong>radiogramma diretto dell\u2019addome<\/strong> \u00e8 l\u2019esame iniziale per sospetti di occlusione intestinale, offrendo una rapida panoramica dei segni indiretti dell\u2019occlusione o delle sue complicanze, come la <strong>perforazione<\/strong>. Tuttavia, la radiografia ha limiti, come l\u2019impossibilit\u00e0 di riconoscere occlusioni in fase precoce e la difficolt\u00e0 nel determinare la sede e la natura dell\u2019occlusione. La tomografia computerizzata (TC) supera questi limiti ed \u00e8 l\u2019esame di riferimento.<\/p>\n\n\n<div id=\"bmscience3491275870\" style=\"margin-top: 15px;margin-right: 15px;float: left;\"><a href=\"https:\/\/amzn.to\/3GOWCXi\" target=\"_blank\" aria-label=\"Progetto senza titolo\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.bmscience.net\/blog\/wp-content\/uploads\/2025\/07\/Progetto-senza-titolo.gif\" alt=\"\"  width=\"300\" height=\"300\"   \/><\/a><\/div>\n\n\n<p>La TC \u00e8 cruciale per identificare un ileo meccanico scompensato o complicato.<br>L\u2019<strong>ileo meccanico scompensato<\/strong> si manifesta con versamento tra le anse intestinali, causato dalla tensione endoluminale che altera il microcircolo parietale. L\u2019ecografia pu\u00f2 diagnosticare questa condizione evidenziando la presenza di liquido tra le anse o nello scavo pelvico.<br>L\u2019<strong>ileo meccanico complicato<\/strong>, invece, \u00e8 caratterizzato da sofferenza vascolare d\u2019ansa. Alla TC, si osserva un ispessimento parietale con stratificazione in fase venosa (<strong><em>target sign<\/em><\/strong>), mentre in fasi pi\u00f9 avanzate, con compromissione arteriosa, le pareti delle anse diventano assottigliate e prive di impregnazione contrastografica.<\/p>\n\n\n\n<figure class=\"wp-block-table\"><table><tbody><tr><td>Solo intestino <strong>tenue<\/strong><\/td><td>Ileo meccanico del tenue<\/td><\/tr><tr><td>Solo intestino <strong>crasso<\/strong><\/td><td>Ileo meccanico del crasso con valvola ileocecale competente<\/td><\/tr><tr><td>Intestino <strong>tenue <\/strong>e <strong>crasso<\/strong><\/td><td>Ileo meccanico del crasso con valvola ileocecale incompetente<br>Ileo paralitico<\/td><\/tr><\/tbody><\/table><figcaption class=\"wp-element-caption\">Riconoscimento della sede dell\u2019occlusione intestinale in base alla distribuzione delle alterazioni radiologiche.<\/figcaption><\/figure>\n\n\n\n<div class=\"wp-block-jetpack-slideshow aligncenter\" data-effect=\"slide\"><div class=\"wp-block-jetpack-slideshow_container swiper-container\"><ul class=\"wp-block-jetpack-slideshow_swiper-wrapper swiper-wrapper\"><li class=\"wp-block-jetpack-slideshow_slide swiper-slide\"><figure><img loading=\"lazy\" decoding=\"async\" width=\"532\" height=\"572\" alt=\"\" class=\"wp-block-jetpack-slideshow_image wp-image-20798\" data-id=\"20798\" src=\"https:\/\/bmscience.net\/blog\/wp-content\/uploads\/2024\/04\/Ileo-meccanico-dellintestino-tenue.png\" srcset=\"https:\/\/www.bmscience.net\/blog\/wp-content\/uploads\/2024\/04\/Ileo-meccanico-dellintestino-tenue.png 532w, https:\/\/www.bmscience.net\/blog\/wp-content\/uploads\/2024\/04\/Ileo-meccanico-dellintestino-tenue-279x300.png 279w\" sizes=\"auto, (max-width: 532px) 100vw, 532px\" \/><figcaption class=\"wp-block-jetpack-slideshow_caption gallery-caption\">Ileo meccanico dell\u2019intestino tenue. Radiogramma in ortostatismo. Si osservano le anse del tenue dilatate e contenenti numerosi livelli idroaerei, con assenza di meteorismo a valle.<\/figcaption><\/figure><\/li><li class=\"wp-block-jetpack-slideshow_slide swiper-slide\"><figure><img loading=\"lazy\" decoding=\"async\" width=\"538\" height=\"654\" alt=\"\" class=\"wp-block-jetpack-slideshow_image wp-image-20797\" data-id=\"20797\" src=\"https:\/\/bmscience.net\/blog\/wp-content\/uploads\/2024\/04\/Ileo-meccanico-dellintestino-tenue-distale.png\" srcset=\"https:\/\/www.bmscience.net\/blog\/wp-content\/uploads\/2024\/04\/Ileo-meccanico-dellintestino-tenue-distale.png 538w, https:\/\/www.bmscience.net\/blog\/wp-content\/uploads\/2024\/04\/Ileo-meccanico-dellintestino-tenue-distale-247x300.png 247w\" sizes=\"auto, (max-width: 538px) 100vw, 538px\" \/><figcaption class=\"wp-block-jetpack-slideshow_caption gallery-caption\">Ileo meccanico dell\u2019intestino tenue distale. Radiogramma in clinostasi. Si osservano multiple anse del tenue dilatate con pattern a pila di piatti; il meteorismo intestinale nel colon e nell\u2019ampolla rettale \u00e8 pressoch\u00e9 assente. I livelli idroaerei in tale proiezione non sono riconoscibili.<\/figcaption><\/figure><\/li><li class=\"wp-block-jetpack-slideshow_slide swiper-slide\"><figure><img loading=\"lazy\" decoding=\"async\" width=\"533\" height=\"647\" alt=\"\" class=\"wp-block-jetpack-slideshow_image wp-image-20799\" data-id=\"20799\" src=\"https:\/\/bmscience.net\/blog\/wp-content\/uploads\/2024\/04\/Ricostruzione-TC-coronale-che-evidenzia-una-occlusione-intestinale.png\" srcset=\"https:\/\/www.bmscience.net\/blog\/wp-content\/uploads\/2024\/04\/Ricostruzione-TC-coronale-che-evidenzia-una-occlusione-intestinale.png 533w, https:\/\/www.bmscience.net\/blog\/wp-content\/uploads\/2024\/04\/Ricostruzione-TC-coronale-che-evidenzia-una-occlusione-intestinale-247x300.png 247w\" sizes=\"auto, (max-width: 533px) 100vw, 533px\" \/><figcaption class=\"wp-block-jetpack-slideshow_caption gallery-caption\">Ricostruzione TC coronale che evidenzia una occlusione intestinale sostenuta da un nodulo di carcinosi peritoneale (freccia) in un paziente con neoplasia del colon e metastasi epatiche (*).<\/figcaption><\/figure><\/li><li class=\"wp-block-jetpack-slideshow_slide swiper-slide\"><figure><img loading=\"lazy\" decoding=\"async\" width=\"537\" height=\"673\" alt=\"\" class=\"wp-block-jetpack-slideshow_image wp-image-20796\" data-id=\"20796\" src=\"https:\/\/bmscience.net\/blog\/wp-content\/uploads\/2024\/04\/Ileo-meccanico-dellintestino-crasso-distale.png\" srcset=\"https:\/\/www.bmscience.net\/blog\/wp-content\/uploads\/2024\/04\/Ileo-meccanico-dellintestino-crasso-distale.png 537w, https:\/\/www.bmscience.net\/blog\/wp-content\/uploads\/2024\/04\/Ileo-meccanico-dellintestino-crasso-distale-239x300.png 239w\" sizes=\"auto, (max-width: 537px) 100vw, 537px\" \/><figcaption class=\"wp-block-jetpack-slideshow_caption gallery-caption\">Ileo meccanico dell\u2019intestino crasso distale. Si osserva la dilatazione di tutta la cornice colica e del sigma, in assenza di distensione delle anse del tenue. L\u2019ostacolo meccanico alla canalizzazione \u00e8 rappresentato da un voluminoso fecaloma, riconoscibile a livello dell\u2019ampolla rettale, con il tipico pattern a mollica di pane.<\/figcaption><\/figure><\/li><li class=\"wp-block-jetpack-slideshow_slide swiper-slide\"><figure><img loading=\"lazy\" decoding=\"async\" width=\"537\" height=\"381\" alt=\"\" class=\"wp-block-jetpack-slideshow_image wp-image-20795\" data-id=\"20795\" src=\"https:\/\/bmscience.net\/blog\/wp-content\/uploads\/2024\/04\/Ileo-meccanico-del-sigma.png\" srcset=\"https:\/\/www.bmscience.net\/blog\/wp-content\/uploads\/2024\/04\/Ileo-meccanico-del-sigma.png 537w, https:\/\/www.bmscience.net\/blog\/wp-content\/uploads\/2024\/04\/Ileo-meccanico-del-sigma-300x213.png 300w\" sizes=\"auto, (max-width: 537px) 100vw, 537px\" \/><figcaption class=\"wp-block-jetpack-slideshow_caption gallery-caption\">Ileo meccanico del sigma. Radiogramma in decubito laterale. Si osserva la dilatazione delle anse coliche, contenenti livelli idroaerei.<\/figcaption><\/figure><\/li><\/ul><a class=\"wp-block-jetpack-slideshow_button-prev swiper-button-prev swiper-button-white\" role=\"button\"><\/a><a class=\"wp-block-jetpack-slideshow_button-next swiper-button-next swiper-button-white\" role=\"button\"><\/a><a aria-label=\"Pause Slideshow\" class=\"wp-block-jetpack-slideshow_button-pause\" role=\"button\"><\/a><div class=\"wp-block-jetpack-slideshow_pagination swiper-pagination swiper-pagination-white\"><\/div><\/div><\/div>\n\n\n\n<div class=\"wp-block-columns are-vertically-aligned-center is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-vertically-aligned-center is-layout-flow wp-block-column-is-layout-flow\"><div class=\"wp-block-image\">\n<figure data-wp-context=\"{&quot;imageId&quot;:&quot;69f5b5a77cf9b&quot;}\" data-wp-interactive=\"core\/image\" data-wp-key=\"69f5b5a77cf9b\" class=\"aligncenter size-full is-resized wp-lightbox-container\"><img loading=\"lazy\" decoding=\"async\" width=\"536\" height=\"548\" data-wp-class--hide=\"state.isContentHidden\" data-wp-class--show=\"state.isContentVisible\" data-wp-init=\"callbacks.setButtonStyles\" data-wp-on--click=\"actions.showLightbox\" data-wp-on--load=\"callbacks.setButtonStyles\" data-wp-on-window--resize=\"callbacks.setButtonStyles\" src=\"https:\/\/bmscience.net\/blog\/wp-content\/uploads\/2024\/04\/Volvolo-del-sigma.-Il-sigma-appare-notevolmente-dilatato.png\" alt=\"\" class=\"wp-image-20800\" style=\"width:402px;height:auto\" srcset=\"https:\/\/www.bmscience.net\/blog\/wp-content\/uploads\/2024\/04\/Volvolo-del-sigma.-Il-sigma-appare-notevolmente-dilatato.png 536w, https:\/\/www.bmscience.net\/blog\/wp-content\/uploads\/2024\/04\/Volvolo-del-sigma.-Il-sigma-appare-notevolmente-dilatato-293x300.png 293w\" sizes=\"auto, (max-width: 536px) 100vw, 536px\" \/><button\n\t\t\tclass=\"lightbox-trigger\"\n\t\t\ttype=\"button\"\n\t\t\taria-haspopup=\"dialog\"\n\t\t\taria-label=\"Ingrandisci\"\n\t\t\tdata-wp-init=\"callbacks.initTriggerButton\"\n\t\t\tdata-wp-on--click=\"actions.showLightbox\"\n\t\t\tdata-wp-style--right=\"state.imageButtonRight\"\n\t\t\tdata-wp-style--top=\"state.imageButtonTop\"\n\t\t>\n\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"12\" height=\"12\" fill=\"none\" viewBox=\"0 0 12 12\">\n\t\t\t\t<path fill=\"#fff\" d=\"M2 0a2 2 0 0 0-2 2v2h1.5V2a.5.5 0 0 1 .5-.5h2V0H2Zm2 10.5H2a.5.5 0 0 1-.5-.5V8H0v2a2 2 0 0 0 2 2h2v-1.5ZM8 12v-1.5h2a.5.5 0 0 0 .5-.5V8H12v2a2 2 0 0 1-2 2H8Zm2-12a2 2 0 0 1 2 2v2h-1.5V2a.5.5 0 0 0-.5-.5H8V0h2Z\" \/>\n\t\t\t<\/svg>\n\t\t<\/button><figcaption class=\"wp-element-caption\"><strong>Volvolo del sigma<\/strong>. Il sigma appare notevolmente dilatato, occupando una parte considerevole della cavit\u00e0 addominale, con il caratteristico aspetto \u201c<strong>a chicco di caff\u00e8<\/strong>\u201d, orientato verso l\u2019ipocondrio destro; concomita la dilatazione dei segmenti colici a monte e l\u2019assenza di gas in ampolla rettale.<\/figcaption><\/figure>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-column is-vertically-aligned-center is-layout-flow wp-block-column-is-layout-flow\"><div class=\"wp-block-image\">\n<figure data-wp-context=\"{&quot;imageId&quot;:&quot;69f5b5a77d54d&quot;}\" data-wp-interactive=\"core\/image\" data-wp-key=\"69f5b5a77d54d\" class=\"aligncenter size-full is-resized wp-lightbox-container\"><img loading=\"lazy\" decoding=\"async\" width=\"533\" height=\"654\" data-wp-class--hide=\"state.isContentHidden\" data-wp-class--show=\"state.isContentVisible\" data-wp-init=\"callbacks.setButtonStyles\" data-wp-on--click=\"actions.showLightbox\" data-wp-on--load=\"callbacks.setButtonStyles\" data-wp-on-window--resize=\"callbacks.setButtonStyles\" src=\"https:\/\/bmscience.net\/blog\/wp-content\/uploads\/2024\/04\/Volvolo-del-cieco.-Lasse-del-viscere-e-orientato-verso-lipocondrio-sinistro.png\" alt=\"\" class=\"wp-image-20801\" style=\"width:378px;height:auto\" srcset=\"https:\/\/www.bmscience.net\/blog\/wp-content\/uploads\/2024\/04\/Volvolo-del-cieco.-Lasse-del-viscere-e-orientato-verso-lipocondrio-sinistro.png 533w, https:\/\/www.bmscience.net\/blog\/wp-content\/uploads\/2024\/04\/Volvolo-del-cieco.-Lasse-del-viscere-e-orientato-verso-lipocondrio-sinistro-244x300.png 244w\" sizes=\"auto, (max-width: 533px) 100vw, 533px\" \/><button\n\t\t\tclass=\"lightbox-trigger\"\n\t\t\ttype=\"button\"\n\t\t\taria-haspopup=\"dialog\"\n\t\t\taria-label=\"Ingrandisci\"\n\t\t\tdata-wp-init=\"callbacks.initTriggerButton\"\n\t\t\tdata-wp-on--click=\"actions.showLightbox\"\n\t\t\tdata-wp-style--right=\"state.imageButtonRight\"\n\t\t\tdata-wp-style--top=\"state.imageButtonTop\"\n\t\t>\n\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"12\" height=\"12\" fill=\"none\" viewBox=\"0 0 12 12\">\n\t\t\t\t<path fill=\"#fff\" d=\"M2 0a2 2 0 0 0-2 2v2h1.5V2a.5.5 0 0 1 .5-.5h2V0H2Zm2 10.5H2a.5.5 0 0 1-.5-.5V8H0v2a2 2 0 0 0 2 2h2v-1.5ZM8 12v-1.5h2a.5.5 0 0 0 .5-.5V8H12v2a2 2 0 0 1-2 2H8Zm2-12a2 2 0 0 1 2 2v2h-1.5V2a.5.5 0 0 0-.5-.5H8V0h2Z\" \/>\n\t\t\t<\/svg>\n\t\t<\/button><figcaption class=\"wp-element-caption\"><strong>Volvolo del cieco<\/strong>. L\u2019asse del viscere \u00e8 orientato verso l\u2019ipocondrio sinistro. Le anse del tenue non sono distese per competenza della valvola ileo-cecale. Nel bacino si osservano numerose immagini calcifiche riferibili a <strong>fleboliti <\/strong>(frecce).<\/figcaption><\/figure>\n<\/div><\/div>\n<\/div>\n\n\n<div id=\"bmscience1724851363\" style=\"margin-top: 15px;margin-bottom: 15px;margin-left: auto;margin-right: auto;text-align: center;\"><a href=\"https:\/\/amzn.to\/47uEWuz\" target=\"_blank\" aria-label=\"Exp_Storefront_CTA_Banner_DT_06_3000x400\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.bmscience.net\/blog\/wp-content\/uploads\/2025\/11\/Exp_Storefront_CTA_Banner_DT_06_3000x400-scaled.jpg\" alt=\"\"  srcset=\"https:\/\/www.bmscience.net\/blog\/wp-content\/uploads\/2025\/11\/Exp_Storefront_CTA_Banner_DT_06_3000x400-scaled.jpg 2560w, https:\/\/www.bmscience.net\/blog\/wp-content\/uploads\/2025\/11\/Exp_Storefront_CTA_Banner_DT_06_3000x400-300x40.jpg 300w, https:\/\/www.bmscience.net\/blog\/wp-content\/uploads\/2025\/11\/Exp_Storefront_CTA_Banner_DT_06_3000x400-1024x137.jpg 1024w, https:\/\/www.bmscience.net\/blog\/wp-content\/uploads\/2025\/11\/Exp_Storefront_CTA_Banner_DT_06_3000x400-768x102.jpg 768w, https:\/\/www.bmscience.net\/blog\/wp-content\/uploads\/2025\/11\/Exp_Storefront_CTA_Banner_DT_06_3000x400-1536x205.jpg 1536w, https:\/\/www.bmscience.net\/blog\/wp-content\/uploads\/2025\/11\/Exp_Storefront_CTA_Banner_DT_06_3000x400-2048x273.jpg 2048w\" sizes=\"auto, (max-width: 2560px) 100vw, 2560px\" width=\"2560\" height=\"341\"  style=\"display: inline-block;\" \/><\/a><\/div>\n\n\n<h2 id=\"rtoc-2\"  class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Lileo_paralitico_adinamico\"><\/span>L&#8217;ileo paralitico (adinamico)<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>L\u2019<strong>ileo paralitico<\/strong>, noto anche come ileo adinamico, \u00e8 una condizione patologica che si caratterizza per un arresto del transito del contenuto intestinale. Questo avviene su base funzionale, cio\u00e8 in assenza di un ostacolo meccanico che impedisce fisicamente il passaggio.<\/p>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"alignright size-full is-resized\"><a href=\"https:\/\/amzn.to\/3IIrglK\" target=\"_blank\" rel=\"noreferrer noopener\"><img loading=\"lazy\" decoding=\"async\" width=\"594\" height=\"856\" src=\"https:\/\/www.bmscience.net\/blog\/wp-content\/uploads\/2024\/03\/51RIJvuVgL.jpg\" alt=\"\" class=\"wp-image-24744\" style=\"width:151px;height:auto\" srcset=\"https:\/\/www.bmscience.net\/blog\/wp-content\/uploads\/2024\/03\/51RIJvuVgL.jpg 594w, https:\/\/www.bmscience.net\/blog\/wp-content\/uploads\/2024\/03\/51RIJvuVgL-208x300.jpg 208w\" sizes=\"auto, (max-width: 594px) 100vw, 594px\" \/><\/a><figcaption class=\"wp-element-caption\"><strong><a href=\"https:\/\/amzn.to\/4aMT80X\" target=\"_blank\" rel=\"noreferrer noopener\">Acquista ora<\/a><\/strong><\/figcaption><\/figure>\n<\/div>\n\n\n<p>Le cause dell\u2019ileo paralitico sono numerose e variegate. Tra queste, troviamo le cardiopatie, l\u2019uso di certi farmaci, i disturbi idro-elettrolitici, i processi flogistici e gli interventi chirurgici.<\/p>\n\n\n\n<p>La diagnosi di ileo paralitico si basa principalmente su esami radiologici. Questi permettono di riconoscere una dilatazione diffusa, con livelli idroaerei a livello delle anse dell\u2019intestino tenue e crasso.<\/p>\n\n\n\n<p>Esistono diverse forme distrettuali d\u2019ileo paralitico. Tra queste, la cosiddetta \u201c<strong>ansa sentinella<\/strong>\u201d \u00e8 un\u2019ansa intestinale dilatata in prossimit\u00e0 di un processo infiammatorio, come ad esempio una pancreatite o un\u2019appendicite.<\/p>\n\n\n\n<p>Il <strong>megacolon tossico<\/strong> \u00e8 una grave complicanza della colite ulcerosa, mentre la <strong>sindrome di Ogilvie<\/strong> rappresenta un ileo paralitico del colon. Quest\u2019ultima si manifesta di solito in pazienti anziani con squilibri elettrolitici o altre patologie intercorrenti.<\/p>\n\n\n\n<div class=\"wp-block-columns are-vertically-aligned-center is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-vertically-aligned-center is-layout-flow wp-block-column-is-layout-flow\"><div class=\"wp-block-image\">\n<figure data-wp-context=\"{&quot;imageId&quot;:&quot;69f5b5a7805c9&quot;}\" data-wp-interactive=\"core\/image\" data-wp-key=\"69f5b5a7805c9\" class=\"aligncenter size-full wp-lightbox-container\"><img loading=\"lazy\" decoding=\"async\" width=\"536\" height=\"605\" data-wp-class--hide=\"state.isContentHidden\" data-wp-class--show=\"state.isContentVisible\" data-wp-init=\"callbacks.setButtonStyles\" data-wp-on--click=\"actions.showLightbox\" data-wp-on--load=\"callbacks.setButtonStyles\" data-wp-on-window--resize=\"callbacks.setButtonStyles\" src=\"https:\/\/bmscience.net\/blog\/wp-content\/uploads\/2024\/04\/Ileo-paralitico.png\" alt=\"\" class=\"wp-image-20802\" srcset=\"https:\/\/www.bmscience.net\/blog\/wp-content\/uploads\/2024\/04\/Ileo-paralitico.png 536w, https:\/\/www.bmscience.net\/blog\/wp-content\/uploads\/2024\/04\/Ileo-paralitico-266x300.png 266w\" sizes=\"auto, (max-width: 536px) 100vw, 536px\" \/><button\n\t\t\tclass=\"lightbox-trigger\"\n\t\t\ttype=\"button\"\n\t\t\taria-haspopup=\"dialog\"\n\t\t\taria-label=\"Ingrandisci\"\n\t\t\tdata-wp-init=\"callbacks.initTriggerButton\"\n\t\t\tdata-wp-on--click=\"actions.showLightbox\"\n\t\t\tdata-wp-style--right=\"state.imageButtonRight\"\n\t\t\tdata-wp-style--top=\"state.imageButtonTop\"\n\t\t>\n\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"12\" height=\"12\" fill=\"none\" viewBox=\"0 0 12 12\">\n\t\t\t\t<path fill=\"#fff\" d=\"M2 0a2 2 0 0 0-2 2v2h1.5V2a.5.5 0 0 1 .5-.5h2V0H2Zm2 10.5H2a.5.5 0 0 1-.5-.5V8H0v2a2 2 0 0 0 2 2h2v-1.5ZM8 12v-1.5h2a.5.5 0 0 0 .5-.5V8H12v2a2 2 0 0 1-2 2H8Zm2-12a2 2 0 0 1 2 2v2h-1.5V2a.5.5 0 0 0-.5-.5H8V0h2Z\" \/>\n\t\t\t<\/svg>\n\t\t<\/button><figcaption class=\"wp-element-caption\"><strong>Ileo paralitico<\/strong>. Si osserva la dilatazione diffusa di anse dell\u2019intestino tenue e crasso. La paziente \u00e8 portatrice di uno IUD (<em>intra-uterine device<\/em>) (freccia).<\/figcaption><\/figure>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-column is-vertically-aligned-center is-layout-flow wp-block-column-is-layout-flow\"><div class=\"wp-block-image\">\n<figure data-wp-context=\"{&quot;imageId&quot;:&quot;69f5b5a780a65&quot;}\" data-wp-interactive=\"core\/image\" data-wp-key=\"69f5b5a780a65\" class=\"aligncenter size-full wp-lightbox-container\"><img loading=\"lazy\" decoding=\"async\" width=\"539\" height=\"605\" data-wp-class--hide=\"state.isContentHidden\" data-wp-class--show=\"state.isContentVisible\" data-wp-init=\"callbacks.setButtonStyles\" data-wp-on--click=\"actions.showLightbox\" data-wp-on--load=\"callbacks.setButtonStyles\" data-wp-on-window--resize=\"callbacks.setButtonStyles\" src=\"https:\/\/bmscience.net\/blog\/wp-content\/uploads\/2024\/04\/Megacolon-tossico.png\" alt=\"\" class=\"wp-image-20803\" srcset=\"https:\/\/www.bmscience.net\/blog\/wp-content\/uploads\/2024\/04\/Megacolon-tossico.png 539w, https:\/\/www.bmscience.net\/blog\/wp-content\/uploads\/2024\/04\/Megacolon-tossico-267x300.png 267w\" sizes=\"auto, (max-width: 539px) 100vw, 539px\" \/><button\n\t\t\tclass=\"lightbox-trigger\"\n\t\t\ttype=\"button\"\n\t\t\taria-haspopup=\"dialog\"\n\t\t\taria-label=\"Ingrandisci\"\n\t\t\tdata-wp-init=\"callbacks.initTriggerButton\"\n\t\t\tdata-wp-on--click=\"actions.showLightbox\"\n\t\t\tdata-wp-style--right=\"state.imageButtonRight\"\n\t\t\tdata-wp-style--top=\"state.imageButtonTop\"\n\t\t>\n\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"12\" height=\"12\" fill=\"none\" viewBox=\"0 0 12 12\">\n\t\t\t\t<path fill=\"#fff\" d=\"M2 0a2 2 0 0 0-2 2v2h1.5V2a.5.5 0 0 1 .5-.5h2V0H2Zm2 10.5H2a.5.5 0 0 1-.5-.5V8H0v2a2 2 0 0 0 2 2h2v-1.5ZM8 12v-1.5h2a.5.5 0 0 0 .5-.5V8H12v2a2 2 0 0 1-2 2H8Zm2-12a2 2 0 0 1 2 2v2h-1.5V2a.5.5 0 0 0-.5-.5H8V0h2Z\" \/>\n\t\t\t<\/svg>\n\t\t<\/button><figcaption class=\"wp-element-caption\"><strong>Megacolon tossico<\/strong>. Si osserva la dilatazione del colon (diametro > 6 cm), con anse del tenue nella norma.<\/figcaption><\/figure>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-column is-vertically-aligned-center is-layout-flow wp-block-column-is-layout-flow\"><div class=\"wp-block-image\">\n<figure data-wp-context=\"{&quot;imageId&quot;:&quot;69f5b5a780eba&quot;}\" data-wp-interactive=\"core\/image\" data-wp-key=\"69f5b5a780eba\" class=\"aligncenter size-full wp-lightbox-container\"><img loading=\"lazy\" decoding=\"async\" width=\"538\" height=\"548\" data-wp-class--hide=\"state.isContentHidden\" data-wp-class--show=\"state.isContentVisible\" data-wp-init=\"callbacks.setButtonStyles\" data-wp-on--click=\"actions.showLightbox\" data-wp-on--load=\"callbacks.setButtonStyles\" data-wp-on-window--resize=\"callbacks.setButtonStyles\" src=\"https:\/\/bmscience.net\/blog\/wp-content\/uploads\/2024\/04\/Sindrome-di-Ogilvie.png\" alt=\"\" class=\"wp-image-20804\" srcset=\"https:\/\/www.bmscience.net\/blog\/wp-content\/uploads\/2024\/04\/Sindrome-di-Ogilvie.png 538w, https:\/\/www.bmscience.net\/blog\/wp-content\/uploads\/2024\/04\/Sindrome-di-Ogilvie-295x300.png 295w\" sizes=\"auto, (max-width: 538px) 100vw, 538px\" \/><button\n\t\t\tclass=\"lightbox-trigger\"\n\t\t\ttype=\"button\"\n\t\t\taria-haspopup=\"dialog\"\n\t\t\taria-label=\"Ingrandisci\"\n\t\t\tdata-wp-init=\"callbacks.initTriggerButton\"\n\t\t\tdata-wp-on--click=\"actions.showLightbox\"\n\t\t\tdata-wp-style--right=\"state.imageButtonRight\"\n\t\t\tdata-wp-style--top=\"state.imageButtonTop\"\n\t\t>\n\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"12\" height=\"12\" fill=\"none\" viewBox=\"0 0 12 12\">\n\t\t\t\t<path fill=\"#fff\" d=\"M2 0a2 2 0 0 0-2 2v2h1.5V2a.5.5 0 0 1 .5-.5h2V0H2Zm2 10.5H2a.5.5 0 0 1-.5-.5V8H0v2a2 2 0 0 0 2 2h2v-1.5ZM8 12v-1.5h2a.5.5 0 0 0 .5-.5V8H12v2a2 2 0 0 1-2 2H8Zm2-12a2 2 0 0 1 2 2v2h-1.5V2a.5.5 0 0 0-.5-.5H8V0h2Z\" \/>\n\t\t\t<\/svg>\n\t\t<\/button><figcaption class=\"wp-element-caption\"><strong>Sindrome di Ogilvie<\/strong>. Si osserva la dilatazione di tutta la cornice colica, con presenza di gas in ampolla rettale.<\/figcaption><\/figure>\n<\/div><\/div>\n<\/div>\n\n\n\n<h2 id=\"rtoc-3\"  class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Occlusione_intestinale_nel_neonato\"><\/span>Occlusione intestinale nel neonato<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>Un neonato presenta aria nello stomaco dopo circa 30 minuti dalla nascita, nell&#8217;intestino tenue dopo circa 3 ore e dopo 4-6 ore nel colon.<\/p>\n\n\n\n<p>Nel sospetto di occlusione intestinale, \u00e8 necessario effettuare una radiografia in decubito prono. La causa pi\u00f9 frequente di occlusione intestinale nel neonato \u00e8 rappresentata da una <strong>stenosi duodenale<\/strong>, che si manifesta radiologicamente con il segno della \u201c<strong>doppia bolla<\/strong>\u201d.<\/p>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\">\n<p>Fonte: <a href=\"https:\/\/amzn.to\/496liCI\" target=\"_blank\" rel=\"noreferrer noopener\">Manuale di radiologia. Concorso Nazionale SSM<\/a>.<\/p>\n<\/blockquote>\n\n\n<div id=\"bmscience3914032401\" style=\"margin-top: 15px;margin-bottom: 15px;margin-left: auto;margin-right: auto;text-align: center;\"><a href=\"https:\/\/amzn.to\/44mFDDm\" target=\"_blank\" aria-label=\"Screenshot 2025-06-30 173808\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.bmscience.net\/blog\/wp-content\/uploads\/2025\/06\/Screenshot-2025-06-30-173808.png\" alt=\"\"  srcset=\"https:\/\/www.bmscience.net\/blog\/wp-content\/uploads\/2025\/06\/Screenshot-2025-06-30-173808.png 1562w, https:\/\/www.bmscience.net\/blog\/wp-content\/uploads\/2025\/06\/Screenshot-2025-06-30-173808-300x70.png 300w, https:\/\/www.bmscience.net\/blog\/wp-content\/uploads\/2025\/06\/Screenshot-2025-06-30-173808-1024x240.png 1024w, https:\/\/www.bmscience.net\/blog\/wp-content\/uploads\/2025\/06\/Screenshot-2025-06-30-173808-768x180.png 768w, https:\/\/www.bmscience.net\/blog\/wp-content\/uploads\/2025\/06\/Screenshot-2025-06-30-173808-1536x360.png 1536w\" sizes=\"auto, (max-width: 1562px) 100vw, 1562px\" width=\"1562\" height=\"366\"  style=\"display: inline-block;\" \/><\/a><\/div>","protected":false},"excerpt":{"rendered":"<p>L&#8217;ileo meccanico L\u2019ileo meccanico rappresenta una sfida clinica significativa, essendo una condizione patologica che interrompe il normale transito intestinale. Le cause dell\u2019ileo meccanico possono essere categorizzate in base alla loro posizione all&#8217;interno del tratto intestinale: Le occlusioni dell\u2019intestino tenue sono spesso il risultato di aderenze post-chirurgiche, mentre quelle del colon sono tipicamente causate da neoplasie&hellip;<\/p>\n<p class=\"more\"><a class=\"more-link\" href=\"https:\/\/www.bmscience.net\/blog\/lileo-meccanico-e-lileo-paralitico-in-radiologia\/\">Continue reading <span class=\"screen-reader-text\">L&#8217;ileo meccanico e l&#8217;ileo paralitico in radiologia<\/span><\/a><\/p>\n","protected":false},"author":4,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"advgb_blocks_editor_width":"","advgb_blocks_columns_visual_guide":"","footnotes":""},"categories":[63,8252],"tags":[8586,8589,8579,1181,8580,8578,8587,3816,8588,8576,8584,8583,8577,8590,8581,8582,8591,8592,8585,8055],"class_list":["post-20793","post","type-post","status-publish","format-standard","hentry","category-gastroenterologia","category-radiologia","tag-a-chicco-di-caffe","tag-ansa-sentinella","tag-briglie-aderenziali","tag-calcoli","tag-ernia","tag-fitobezoari","tag-fleboliti","tag-ileo","tag-ileo-adinamico","tag-ileo-meccanico","tag-ileo-meccanico-complicato","tag-ileo-meccanico-scompensato","tag-ileo-paralitico","tag-megacolon-tossico","tag-morbo-di-crohn","tag-perforazione","tag-sindrome-di-ogilvie","tag-stenosi-duodenale","tag-target-sign","tag-volvolo","entry"],"author_meta":{"display_name":"Raffo Coco","author_link":"https:\/\/www.bmscience.net\/blog\/author\/raffo\/"},"featured_img":null,"coauthors":[],"tax_additional":{"categories":{"linked":["<a href=\"https:\/\/www.bmscience.net\/blog\/category\/medicina\/gastroenterologia\/\" class=\"advgb-post-tax-term\">Gastroenterologia<\/a>","<a href=\"https:\/\/www.bmscience.net\/blog\/category\/medicina\/radiologia\/\" class=\"advgb-post-tax-term\">Radiologia<\/a>"],"unlinked":["<span class=\"advgb-post-tax-term\">Gastroenterologia<\/span>","<span class=\"advgb-post-tax-term\">Radiologia<\/span>"]},"tags":{"linked":["<a href=\"https:\/\/www.bmscience.net\/blog\/category\/medicina\/radiologia\/\" class=\"advgb-post-tax-term\">a chicco di caff\u00e8<\/a>","<a href=\"https:\/\/www.bmscience.net\/blog\/category\/medicina\/radiologia\/\" class=\"advgb-post-tax-term\">ansa sentinella<\/a>","<a href=\"https:\/\/www.bmscience.net\/blog\/category\/medicina\/radiologia\/\" class=\"advgb-post-tax-term\">briglie aderenziali<\/a>","<a href=\"https:\/\/www.bmscience.net\/blog\/category\/medicina\/radiologia\/\" class=\"advgb-post-tax-term\">calcoli<\/a>","<a href=\"https:\/\/www.bmscience.net\/blog\/category\/medicina\/radiologia\/\" class=\"advgb-post-tax-term\">ernia<\/a>","<a href=\"https:\/\/www.bmscience.net\/blog\/category\/medicina\/radiologia\/\" class=\"advgb-post-tax-term\">fitobezoari<\/a>","<a href=\"https:\/\/www.bmscience.net\/blog\/category\/medicina\/radiologia\/\" class=\"advgb-post-tax-term\">fleboliti<\/a>","<a href=\"https:\/\/www.bmscience.net\/blog\/category\/medicina\/radiologia\/\" class=\"advgb-post-tax-term\">ileo<\/a>","<a href=\"https:\/\/www.bmscience.net\/blog\/category\/medicina\/radiologia\/\" class=\"advgb-post-tax-term\">ileo adinamico<\/a>","<a href=\"https:\/\/www.bmscience.net\/blog\/category\/medicina\/radiologia\/\" class=\"advgb-post-tax-term\">ileo meccanico<\/a>","<a href=\"https:\/\/www.bmscience.net\/blog\/category\/medicina\/radiologia\/\" class=\"advgb-post-tax-term\">ileo meccanico complicato<\/a>","<a href=\"https:\/\/www.bmscience.net\/blog\/category\/medicina\/radiologia\/\" class=\"advgb-post-tax-term\">ileo meccanico scompensato<\/a>","<a href=\"https:\/\/www.bmscience.net\/blog\/category\/medicina\/radiologia\/\" class=\"advgb-post-tax-term\">ileo paralitico<\/a>","<a href=\"https:\/\/www.bmscience.net\/blog\/category\/medicina\/radiologia\/\" class=\"advgb-post-tax-term\">megacolon tossico<\/a>","<a href=\"https:\/\/www.bmscience.net\/blog\/category\/medicina\/radiologia\/\" class=\"advgb-post-tax-term\">morbo di Crohn<\/a>","<a href=\"https:\/\/www.bmscience.net\/blog\/category\/medicina\/radiologia\/\" class=\"advgb-post-tax-term\">perforazione<\/a>","<a href=\"https:\/\/www.bmscience.net\/blog\/category\/medicina\/radiologia\/\" class=\"advgb-post-tax-term\">sindrome di Ogilvie<\/a>","<a href=\"https:\/\/www.bmscience.net\/blog\/category\/medicina\/radiologia\/\" class=\"advgb-post-tax-term\">stenosi duodenale<\/a>","<a href=\"https:\/\/www.bmscience.net\/blog\/category\/medicina\/radiologia\/\" class=\"advgb-post-tax-term\">target sign<\/a>","<a href=\"https:\/\/www.bmscience.net\/blog\/category\/medicina\/radiologia\/\" class=\"advgb-post-tax-term\">volvolo<\/a>"],"unlinked":["<span class=\"advgb-post-tax-term\">a chicco di caff\u00e8<\/span>","<span class=\"advgb-post-tax-term\">ansa sentinella<\/span>","<span class=\"advgb-post-tax-term\">briglie aderenziali<\/span>","<span class=\"advgb-post-tax-term\">calcoli<\/span>","<span class=\"advgb-post-tax-term\">ernia<\/span>","<span class=\"advgb-post-tax-term\">fitobezoari<\/span>","<span class=\"advgb-post-tax-term\">fleboliti<\/span>","<span class=\"advgb-post-tax-term\">ileo<\/span>","<span class=\"advgb-post-tax-term\">ileo adinamico<\/span>","<span class=\"advgb-post-tax-term\">ileo meccanico<\/span>","<span class=\"advgb-post-tax-term\">ileo meccanico complicato<\/span>","<span class=\"advgb-post-tax-term\">ileo meccanico scompensato<\/span>","<span class=\"advgb-post-tax-term\">ileo paralitico<\/span>","<span class=\"advgb-post-tax-term\">megacolon tossico<\/span>","<span class=\"advgb-post-tax-term\">morbo di Crohn<\/span>","<span class=\"advgb-post-tax-term\">perforazione<\/span>","<span class=\"advgb-post-tax-term\">sindrome di Ogilvie<\/span>","<span class=\"advgb-post-tax-term\">stenosi duodenale<\/span>","<span class=\"advgb-post-tax-term\">target sign<\/span>","<span class=\"advgb-post-tax-term\">volvolo<\/span>"]}},"comment_count":"0","relative_dates":{"created":"Pubblicato 2 anni fa","modified":"Aggiornato 2 anni fa"},"absolute_dates":{"created":"Pubblicato il 23\/04\/2024","modified":"Aggiornato il 23\/04\/2024"},"absolute_dates_time":{"created":"Pubblicato il 23\/04\/2024 14:57","modified":"Aggiornato il 23\/04\/2024 14:57"},"featured_img_caption":"","series_order":"","_links":{"self":[{"href":"https:\/\/www.bmscience.net\/blog\/wp-json\/wp\/v2\/posts\/20793","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.bmscience.net\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.bmscience.net\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.bmscience.net\/blog\/wp-json\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/www.bmscience.net\/blog\/wp-json\/wp\/v2\/comments?post=20793"}],"version-history":[{"count":0,"href":"https:\/\/www.bmscience.net\/blog\/wp-json\/wp\/v2\/posts\/20793\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.bmscience.net\/blog\/wp-json\/wp\/v2\/media?parent=20793"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.bmscience.net\/blog\/wp-json\/wp\/v2\/categories?post=20793"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.bmscience.net\/blog\/wp-json\/wp\/v2\/tags?post=20793"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}