Radiological evaluation of the evisceration tradition in ancient Egyptian mummies

Descriptions of the preparation of ancient Egyptian mummies that appear in both scientific and popular literature are derived largely from accounts by the Greek historians Herodotus and Diodorus Siculus. Our reliance on these normative descriptions obscures the wide range of techniques practised, and so stifles the study of geographic, chronological, and social variations in the practice. Using published descriptions in the literature for 150 mummies and 3D reconstructions from computed tomography data for 7 mummies, this study compares empirical data with classical descriptions of evisceration, organ treatment, and body cavity treatment. Techniques for accessing the body cavity, removal and treatment of the organs, and treatment of the eviscerated body cavity vary with time period, sex, and status, and are discussed in relation to their treatment in the literature and their radiological appearance. The Herodotean and Diodorean stereotypes, including the restriction of transabdominal evisceration to the elite and cedar oil enema evisceration to commoners, are falsified by the data. The transperineal forms are present only in elites, and chemical evisceration is not apparent at all. Additionally, the dogmatic contention that the heart was universally retained in situ, or replaced if accidentally removed, is also greatly exaggerated.