The most common presenting symptom is pelvic pain followed by the history of or a palpable adnexal mass on physical exam. Patients typically present 1 to 3 days after onset, although patients with intermittent torsion can present at any time. Abdominal pain can be characterized as sharp, stabbing, and colicky, and it can possibly radiate to the flank, back, or into the pelvis and upper thigh.
