Background: Ovarian torsion is a surgical emergency. It remains one of the most challenging diagnosis in an emergency room. Prompt diagnosis and surgical intervention are key to good outcomes. Case Report: We report a case of 32 year old unmarried woman who presented to the emergency room with pain in right iliac fossa and vomiting. Prompt diagnosis with help of ultrasonography and surgical intervention in form of laparoscopic detorsion and oophoropexy helped in salvaging the adnexa. Conclusion: Idiopathic ovarian torsion at this age is rare and has catastrophic effect on future fertility. Ultrasonography is the primary imaging modality. We also want to highlight the importance of prompt surgical intervention in form of detorsion with oophoropexy to prevent subsequent torsion.