The detection of adnexal masses during pregnancy is a rare incident but because of the increased use of sonography, its prevalence is increasing. Their management essentially relies on imagery. We present the report on the case of a patient admitted to our training for pelvic pain during a 24-week pregnancy, in whom radiological exploration was in favor of bilateral ovarian masses with suspicion of right torsion, an exploratory laparotomy confirmed the presence of Bilateral ovarian mass with right adnexal torsion, bilateral cystectomy was performed. This article discusses the management of adnexal masses in pregnancy. The epidemiology, probable complications, diagnostic approach, and therapeutic management are discuses.

Keywords : Adnexal Masses, Torsion, Pregnancy, Laparotomy