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The fallopian tube is the least common site for origin of malignancy in the female genital tract. Most primary fallopian tube malignancies are adenocarcinomas. Primary transitional cell carcinoma (TCC) of the fallopian tube is an extremely rare tumor with a small number of cases reported in the literature. We present a 67‐year‐old woman who was found incidentally to have a left adnexal mass on a screening pelvic ultrasound. Subsequently the patient underwent laparoscopic left salpingo‐oophorectomy and the specimen was submitted for intraoperative frozen section, which revealed a high‐grade carcinoma; therefore, she underwnt a laparotomy and total abdominal hysterectomy, right salpingo‐oophorectomy and omentectomy. Histopathology revealed high‐grade transitional cell carcinoma in the left fallopian tube. Post‐surgery she was treated with four cycles of adjuvant chemotherapy with carboplatin and …