Biliary- Cutaneous and Entero-Cutaneous Fis- tulas Associated with Extensive Abdominal Wound Following Blunt Abdominal Trauma Treated with Negative Pressure Wound Therapy (NPWT)

Biliarycutaneous fistula (BCF) is a rare complication of blunt abdominal trauma. Although, many techniques have been developed so far, management of BCF still remains an extremely challenging procedure. Management of biliarycutaneous fistula requires a complex approach and collaboration of varying medical specialists. Poor general condition of the patient complicated with sepsis, past history of many laparotomies resulting in extensive abdominal wall defects contribute to an increased mortality rate. We present a case of bile duct injury complicated with bilecutaneous fistula following blunt abdominal trauma treated with Negative Pressure Wound Therapy (NPWT). Due to the lack of potential and effective surgical methods of management, persisting bile leakage and the presence of high output enterocutaneous fistulas, NPWT is considered a method of choice.