Adnexal cystic lesions in women of reproductive age are common. Most are fu
nctional ovarian cysts, followed by paraovarian cysts, hydrosalpinx, and ad
nexal torsion. A 34-year-old woman experienced mild abdominal pain, nausea,
and low-grade fever She received empiric antibiotics in an outpatient clin
ic after a diagnosis of tubo-ovarian abscess. After 3 days she was referred
to our hospital with no improvement in symptoms or signs. isolated fallopi
an tube torsion was diagnosed and successfully treated by laparoscopy. Lapa
roscopy played an important role in making an accurate diagnosis and a void
ing unnecessary delays in treatment.