Uterine torsion during pregnancy is rare and only around 100 cases have been reported in literature. Torsion of non-gravid uterus is extremely rare and very few cases have been reported world wide. We highlight a case of utero-adenexal torsion. A 55 yr old multiparous woman presented to the acute and emergency department of our hospital with complaints of severe pain abdomen of 2 days duration which was sudden in onset and continuously present and also associated with two episodes of vomiting.The patient had not passed stools and flatus for the past two days. A history of mass per vaginum since 1 yr was rioted On admission, she was conscious, oriented, but was hi severe pain.