Isolated torsion of the Fallopian tube is a rare event and diagnosis is difficult. Coelioscopy is necessary to establish the diagnosis, but surgery often occurs too late for tube conservation. This report focuses on three cases of isolated tubal torsion. The laparoscopy confirms the diagnosis but conservative treatment was not possible. Based on this experience, diagnostic difficulties, echography, treatment and causes are discussed. Isolated Fallopian tube torsion should be suspected in case of acute pelvic pain in female patient. Early surgical intervention is necessary.