Introduction: Paratubal cysts are rare cystic structures that are usually asymptomatic; rarely. they may cause torsion of the adnexa. Case presentation: We report the case of a 13-year-old premenarchal female who presented with left lower quadrant abdominal pain for 4 days. She had a history of a previous right fallopian tube cyst and torsion 9 months prior. https://www.countryscenesaddleryandpetsuppliers.shop/product-category/roper-saddle/