Adnexal Torsion (Ovarian Torsion; Fallopian Tube Torsion) By Kilpatrick, MD, MEd, Baylor College of Medicine Reviewed / Revised Feb 2023 View Patient Education Symptoms and Signs Diagnosis Treatment Key Points Adnexal torsion is twisting of the ovary and sometimes the fallopian tube, interrupting the arterial supply and causing ischemia.