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Adnexal torsion (AT) occurs most often before the first period of menstruation and seems to be favored by anatomical predispositions. Later, (AT) may be indicative of adnexal pathology, tubal or ovarian , most often a benign tumor, the diagnosis of AT is often late and then results in an adnexectomy, which is why practicing gynecologists must maintain a high level of suspicion in front of any acute pain in teenage girls even if the functional pathology predominates at this age. The twist of para tubal cyst is extremely rare. This pathology is often confused with ovarian torsion, the management in both cases requires emergency surgery to try to keep the ovary. We report a rare case of an adolescent patient operated for a complex para-tubal twisted benign cyst 6cm associated with hemorrhagic corpus luteum, that the diagnosis was difficult.