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Its adherence to the external iliac vessels posed a challenge to achieve en-bloc resection; therefore, a defunctioning loop ileostomy was created. Final histopathology and immunopathology were consistent with the recurrence of her primary fallopian tube carcinoma. The patient was further discussed in a multidisciplinary team meeting at a tertiary referral hospital. This case highlighted the importance of having a high index of suspicion for cancer recurrence, the utility of rapid source control laparotomy and multidisciplinary team patient management.<\/jats:p>","DOI":"10.1136\/bcr-2023-258764","type":"journal-article","created":{"date-parts":[[2024,4,20]],"date-time":"2024-04-20T03:45:23Z","timestamp":1713584723000},"page":"e258764","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Bowel perforation with generalised peritonitis secondary to recurrent primary fallopian tube carcinoma after 17 years"],"prefix":"10.1136","volume":"17","author":[{"given":"Mei Jing","family":"Ho","sequence":"first","affiliation":[{"name":"General Surgery, Nepean Blue Mountains Local Health District, Kingswood, New South Wales, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7955-3799","authenticated-orcid":false,"given":"Lee S","family":"Kyang","sequence":"additional","affiliation":[{"name":"General Surgery, St Vincent's Health Australia Ltd, Darlinghurst, New South Wales, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Steven","family":"Schlichtemeier","sequence":"additional","affiliation":[{"name":"General Surgery, Wagga Wagga Base Hospital, Wagga Wagga, New South Wales, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2024,4,19]]},"reference":[{"key":"2025082721595666000_17.4.e258764.1","first-page":"225","article-title":"Clinical aspects of primary cancer of the Fallopian tube. 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