Isolated fallopian tubal torsion is a rare entity causing lower abdominal pain, occurring predominantly in the reproductive age group and common on right side. Certain risk factors like hydro/hematosalpinx, previous tubal ligation, abnormal mesosalpinx and hypermotility of tube predispose to tubal torsion. Most cases are usually undiagnosed pre operatively because of non-specific symptoms, physical findings and imaging features. Case Reports: Here we are presenting two women of perimenopausal

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... e presenting with fallopian tubal torsion with previous history of tubal sterilization, which were diagnosed preoperatively by MR imaging. Conclusions: Isolated fallopian tubal torsion should be considered in the differential diagnosis for acute lower abdominal/pelvic pain in women of any age group with particular risk factors. Sometimes ultrasound may not be able to diagnose this condition preoperatively, in such cases MRI imaging plays an important role and help in prompt intervention to avoid further catastrophic complications.