Torsion of the adnexa has traditionally been treated bu adnexectomy be
cause of the fear of emboli departing from thrombosed ovarian veins, S
everal recent reports have described successful conservative managemen
t with unwinding of the twisted adnexa. As the trend toward conservati
ve management progresses,the incidence of recurrent adnexal torsion ma
y increase, We present a case of a 33 year old gravida 3, para 2 Cauca
sian female who presented at 7 weeks gestation complaining of symptoms
similar to those experienced during an episode of right ovarian torsi
on treated by laparoscopic unwinding 6 years earlier. Colour Doppler s
onography revealed absent flow in the right adnexa, The twisted right
adnexa containing the presumed corpus luteum of pregnancy was laparosc
opically unwound. Using an extracorporeal suturing technique, a laparo
scopic oophoropexy was performed to prevent any further rotatory movem
ent. This appears to be the first reported case of laparoscopic oophor
opexy for a recurrent ovarian torsion; we encourage the use of this si
mple, minimally invasive procedure in cases of recurrent adnexal torsi
on.