The combined torsion of both the ovary and the fallopian tube in the pediatric population has been a rarely encountered pathology. Although detorsion of the twisted adnexa is an option, most torsion cases reported in the pediatric literature have undergone adnexectomy as the primary treatment modality. We believe that, in an attempt to maximize the future reproductive potential, a viable portion of the fallopian tube can be salvaged in selected cases. This is the first reported case where a partially necrotic twisted tube is salvaged through neosalpingostomy after the resection of the necrotic distal portion. In this article, we are presenting a 12-year-old girl with a combined torsion of the right ovary and fallopian tube as well as the surgical management of this rare condition.