[Between anatomy and pathology : The dissection reports of Galen of Pergamum].

BACKGROUND

The autopsy protocols in the work of the Greco-Roman physician Galen of Pergamum have so far primarily been examined from a literary and socio-historic point of view. An analysis focused on the medical aspects is still incomplete.

OBJECTIVES

Which pathologic-anatomic competence do the Galenic section reports convey?

MATERIALS: The approximately 400 Galenic case histories were examined for anatomic and pathologic statements obtained during dissections of animals and men.

RESULTS

In 29 reports, anatomy and pathology issues are addressed. Most section reports can be found in the work On anatomical procedures (De anatomicis administrationibus). The texts do not follow a fixed structure. Galen is always the leading actor, observer, and analyst. Many interventions were performed in front of an audience. Monkeys were by far the most commonly dissected animals. Galen stayed away from little animals, because in his opinion their anatomy was not sufficiently similar to that of men. The post-mortem examination of human corpses with scientific intent was limited to victims of epidemics, armed conflicts, and accidents.

CONCLUSIONS

The dissection reports cover only part of Galen's pathologic expertise. The attractive public opening of animals earned him a large part of his reputation as a scientifically oriented physician. The dissection reports are an essential part of the collection of Galen's case histories and provide important detailed information on the history of anatomy and pathology in late antiquity.