Introduction:
Enteroatmospheric fistula (EAF) is a serious postoperative complication encountered by surgeons all over the world. This condition brings upon a lot of physical, mental and emotional distress to the patients. The management of EAF is often multimodal and requires careful planning.

Aim:
We would like to report a case of EAF post laparotomy successfully treated with a novel technique of the standard negative-pressure wound therapy (NPWT).

Case study:
Our patient is a 58-year-old woman who developed an EAF after undergoing two laparotomies with bowel resections for colonic polyps. Her wound was assessed and she was deemed unsuitable for further surgeries due to her frail condition and the condition of the wound. We opted for a conservative treatment. She was then managed in our centre with NPWT dressings.

Results and discussion:
After undergoing multiple cycles of NPWT dressings, the patient's wound improved considerably with satisfying results. Her general well being and septic parameters had improved. The NPWT assisted in the decrease in size and closure of the abdominal wound, allowing for easier isolation and handling of the fistula.

Conclusions:
NPWT has been proven to be a valuable and effective treatment in the management of complex abdominal fistulas. In patients who are not suitable for surgical closure, NPWT should be considered as an adjunct in the management of their wounds.