ABSTRACT
Adnexal torsion, is a severe, though uncommon gynecological emergency, with a prevalence of 2.7-3 percent.1-3 The present chapter reviews the options for management of the ischemic black-blue twisted adnexa, mainly detorsion versus extirpative therapy, i.e. removal of the ischemic organ (oophorectomy or adnexectomy).
