Purpose: Torsion of the appendix is a rare cause of acute abdomen with presentation, treatment, and prognosis virtually identical to that of acute appendicitis.
Methods: We present a case of appendiceal torsion in a 44-year-old male, which is to our knowledge the first in an African-American man, and we review all of the reported adult cases in the English language literature.
Conclusion: This condition may have occurred when a normal appendix is encountered and no other pathologic findings exist.