A remarkable painting of St. Francis of Assisi is on display in the Indianapolis Museum of Art at Newfields, USA, painted by the Italian master Pietro da Rimini around 1330 (Figure 1) (1). The painting is entitled ‘Saint Francis receives the stigmata’, and depicts the saint experiencing a vision as he prays. He sees Christ, bearing the wounds from his crucifixion, flying with an angel-like creature called a seraph. The wounds of Christ represent the four places where nails were driven through his hands and feet during his crucifixion, each denoting a stigma. A fifth stigma appears as a wound on the right side of his chest, where he was stabbed with a lance between the ribs by the Roman soldier who wanted to ascertain his death.
Figure 1.

Painting by Pietro da Rimini entitled ‘Saint Francis Receiving the Stigmata (around 1330). Christ flying with a seraph, appears to St. Francis who bears the stigmata, i.e., the wounds of his crucifixion. The fifth stigma represents a wound on the right side of his chest at the level of the liver. Rays of light from the wounds strike the saint’s body, miraculously producing wounds on corresponding sites, including the fifth wound reaching out to the liver. Indianapolis Museum of Art, Newfields, Indianapolis, IN, USA.
A bleeding wound is typically depicted in the 5th or 6th right intercostal space in the many works of art that show the crucified Christ. This suggests that Christ was stabbed through the narrow interpleural space in that area, directly into the right liver lobe (2). The wound and the injured liver in this context are reminiscent to the wound of Prometheus on the right side of his chest. In Greek mythology, Prometheus, the icon of liver regeneration, was chained to a cliff as a punishment and was tormented every day by an eagle who ate part of his liver through the wound in his right chest (3). In ancient civilizations, an injured liver had significant symbolic meaning as it was believed that the liver was the seat of life.
In the vision of St. Francis seen in Pietro da Rimini’s painting, the wounds of Christ as he is carried by the seraph, emit rays of light striking the saint’s body, miraculously producing wounds on corresponding sites, including the fifth wound on the right side of his chest. His robe is torn apart revealing the intercostal wound in his chest wall reaching out to the liver, the seat of life.
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Acknowledgments
The image was provided by Indianapolis Museum of Art at Newfields (USA). Julia van Rosmalen (MSc Art History, Courtauld Institute of Art, London) conducted the research on Pietro da Rimini’s painting.
Funding: None.
Ethical Statement: The author is accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Footnotes
Provenance and Peer Review: This article was commissioned by the editorial office, Hepatobiliary Surgery and Nutrition. The article did not undergo external peer review.
Conflicts of Interest: The author has completed the ICMJE uniform disclosure form (available at https://hbsn.amegroups.com/article/view/10.21037/hbsn-23-253/coif). TMvG serves as the unpaid Deputy Editor-in-Chief of Hepatobiliary Surgery and Nutrition. The author has no other conflicts of interest to declare.
References
- 1.Indianapolis Museum of Art. St. Francis Receiving the Stigmata. Available online: http://collection.imamuseum.org/artwork/42064/
- 2.van Rosmalen J, van Gulik T. The wounds of Christ and Prometheus – two of a kind? Hektoen International 2022;14. Available online: https://hekint.org/2022/03/15/the-wounds-of-christ-and-prometheus-two-of-a-kind/ [Google Scholar]
- 3.van Rosmalen J, van Gulik M, van Rosmalen B, et al. Prometheus and the Liver. Amsterdam: Amsterdam University Press, 2022. Available online: https://library.oapen.org/handle/20.500.12657/53539 [Google Scholar]
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