The role of sonographic endometrial patterns and endometrial thickness in the differential diagnosis of ectopic pregnancy

Ahmad Omar Hammoud, Ihab Hammoud, Emmanuel Bujold, Bernard Gonik, Michael Peter Diamond, Samuel C. Johnson

Research output: Contribution to journalArticle

26 Scopus citations


Objective: The purpose of this study was to examine the usefulness of the endometrial trilaminar pattern and thickness in the diagnosis of ectopic pregnancy. Study design: We reviewed patient records for clinical and ultrasonographic data for patients with the suspicion of ectopic pregnancy. The trilaminar pattern and endometrial thickness were tested as predictors for the diagnosis of ectopic pregnancy. Results: The trilaminar pattern had a specificity of 94% and sensitivity of 38% (n= 403 women). The mean endometrial thickness was thinner in patients with ectopic, compared with normal pregnancy (9.5 ± 5.7 mm vs 12.4 ± 5.9 mm; P =.035). Patients with normal pregnancy or first-trimester losses had comparable thicknesses (12.4 ± 5.9 mm vs 12.5 ± 8.0 mm). The receiver operator curve showed that there was no thickness value useful for the diagnosis of ectopic pregnancy. Conclusion: The trilaminar pattern is specific for the diagnosis of ectopic pregnancy, but it is associated with low sensitivity. The endometrial thickness tends to be thinner in patients with an ectopic pregnancy.

Original languageEnglish (US)
Pages (from-to)1370-1375
Number of pages6
JournalAmerican Journal of Obstetrics and Gynecology
Issue number5 SPEC. ISS.
StatePublished - Jan 1 2005
Externally publishedYes



  • Ectopic pregnancy
  • Endometrial pattern
  • Endometrial thickness
  • Trilaminar pattern
  • Ultrasonography

ASJC Scopus subject areas

  • Obstetrics and Gynecology

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