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The twisting of the adnexa; partially or totally around its vascular axis and causing hemorrhagic infarction is called adnexal torsion. Isolated torsion of the fallopian tube is a rare and uncommon pathology that has an incidence as 1 in 1.5 million women especially in the reproductive age. Here we describe an isolated torsion of the fallopian tube case with chronic pelvic pain.