Acute appendicitis is most common diagnosis in patients with abdominal pain for which most patients land up in open or laproscopic appendectomy. Ovarian torsion is uncommon diagnosis in patients of abdominal pain and it is difficult to ruleout from other causes of abdominal pain. Any abdominal emergencies presenting together is rare alike acute adnexal pathology with appendicitis, with only few cases reported in the literature. Reported is a case of gangrenous appendicitis associated with ovarian torsion in a 35-year-old-lady.