Isolated torsion of the fallopian tube without epsilateral ovarian involvement is a rare cause of acute lower abdominal pain in females. The clinical presentation of tubal torsion is nonspecific and is therefore a challenge for the clinician to recognize. A definitive diagnosis can rarely be made prior to surgery. An early diagnosis may help to preserve the fallopian tube. We report a case of isolated fallopian tube torsion in a young female patient. The patient's presentation raised clinical suspicion of acute appendicitis and laparoscopy was initiated. A right sided, twisted, dilated, and necrotic fallopian tube was noted. A laparoscopic salpingectomy was performed and the patient recovered well postoperatively.