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IN THIS RETROSPECTIVE STUDY, THE AUTHORS GLEANED HOSPITAL records to identify cases of adnexal torsion at their hospital in Israel between 2002 and 2006. Sixty-two cases were found appropriate for the study. These were classified as having pathologic adnexa or normal adnexa. The patients were then followed via telephone interview to determine whether or not there was recurrence of adnexal torsion. Twelve patients were found to have normal adnexa at the time of torsion. Fifty-seven patients were able to provide reliable follow-up information. Of the 11 patients who originally had normal adnexa, 7 had a recurrent episode of torsion (63.3%) while 8.7% (4 of 46) of patients with abnormal adnexa had recurrent torsion. Among the 7 women with recurrent torsion of normal adnexa, 4 were ipsilateral with a mean interval between the events of 2 years. Of the patients with abnormal adnexa, recurrence was higher if minimal surgery was performed for the first event (detorsion with/without cyst aspiration). There was less likelihood that torsion would recur if resection of the pathology or the entire adnexa had been undertaken. [ABSTRACT FROM AUTHOR]