Little has been published about adnexal torsion among postmenopausal women. To address this question, we reviewed the records of all postmenopausal women with a postoperative diagnosis of ovarian neoplasm over a 10-year period. Among 301 tumors, 19 (6%) underwent torsion. Serous cystadenoma was the most frequent tumor type. No malignant neoplasm underwent torsion in this series. Adnexal torsion is not limited to women of reproductive age