Acute abdomen during third trimester of pregnancypresents as an obstetrical emergency and is usuallydiagnosed as a case of ovarian torsion or appendicitis.But the finding of twisted fallopian tube at laparotomycomes as a surprise, as the condition is uncommonthough 12% cases are associated with pregnancy withthe reported incidence of 1in 1,500,000 women.1,2 In continued to term resulting in a live birth after resectionof a fallopian tube that had undergone torsion (unilateralprimigravida; despite postoperative morbidityconsistent with abdominal wound infection leading togaped wound needing resuture.