The treatment of enteroatmospheric small bowel fistulas is often demanding and places special requirements on the entire treatment team. The hospital nursing team is just as much in demand as the stoma care specialists. The development of individual therapy concepts and the ability to improvise require clinical experience. Particularly in the case of inflammatory involvement of the surrounding skin, this often means a physically and emotionally exhausting journey of suffering for the patients until, finally, a permanent closure of the fistulas can be achieved by conditioning the wound surfaces. This case deals with a colon cancer patient who suffered from a metastasised abdominal wall. Due to an intestinal obstruction, it was necessary to establish an enteroatmospheric fistula. This was achieved gradually and ultimately only through innovative 3-D technology, so that the patient could also spend the rest of his life with quality of life. This technological approach also offers an opportunity for patients with gunshot wounds in the abdomen who develop complications due to severe contamination and ultimately require an enteroatmospheric fistula.