“This photograph offers a rare and powerful glimpse into 19th-century medical practice, documenting severe facial and neck lesions with unflinching detail. It's a striking example of how early photography served as a vital tool for scientific observation and medical record-keeping.”
In this stark albumen silver print, a man's head and neck are presented in profile, revealing the devastating effects of disease. The photograph, taken in 1869, captures a medical subject with an unflinching gaze, highlighting the "fistulous openings" mentioned in the title. These visible lesions underscore the era's approach to medical documentation, where photography served as a crucial tool for study and record-keeping, long before the advent of modern diagnostic imaging. The directness of the image, with its plain background, draws all attention to the anatomical details, making it a compelling, if unsettling, example of early medical photography. It reflects a period when the camera's ability to render precise, objective detail was highly valued for scientific purposes, offering a raw and immediate look at human suffering and the challenges of medicine in the 19th century.
- Artist
- William Hamilton Gibson
- Date
- 1869
- Medium
- Albumen silver print from glass negative
- Location
- The Metropolitan Museum of Art
- Dimensions
- Image: 8 9/16 × 7 1/8 in. (21.7 × 18.1 cm) Sheet: 8 9/16 × 7 1/8 in. (21.7 × 18.1 cm) Mount: 13 15/16 in. × 10 7/8 in. (35.4 × 27.7 cm)
- Collection
- Photographs
- Credit line
- Purchase, Vital Projects Fund Inc. Gift, through Joyce and Robert Menschel, 2019
What to Notice
Four details hide in plain sight. Here’s where to look.

The dark, circular openings on the jaw and neck
The texture of the man's skin and beard
The subtle variations in tone from the albumen print process
The plain, dark background that isolates the subject
Stand in front of it and listen
The full narration walks you through Fistulous Openings in the Jaw and Neck — the story behind it, the details most visitors miss, and why it matters. Free in the Art Whisper app.
William Hamilton Gibson
1850–1896 · United StatesWilliam Hamilton Gibson was a prolific American illustrator, author, and naturalist, celebrated for his nearly photographic and microscopic accuracy in depicting the natural world.
Further Works by Gibson
More works to explore
Beyond Gibson: works from the same years.
Same era · 1850s–1880s
Cart with Red and White Ox
Vincent van Gogh · 1884 · Kröller-Müller Museum
Same era · 1850s–1880s
Barks Fleeing Before the Storm
Léon-Victor Dupré · 1870 · Art Institute of Chicago
Same era · 1850s–1880s
Paris Street; Rainy Day
Kawabata Gyokushō · 1877 · Art Institute of Chicago
Same era · 1850s–1880s
The Backgammon Players
Philip Webb · 1861 · The Metropolitan Museum of Art
Same era · 1850s–1880s
A Sunday on La Grande Jatte — 1884
Okada Saburosuke · 1884 · Art Institute of Chicago
Same era · 1850s–1880s
Mountain View at Bormio (from Switzerland 1869 Sketchbook)
John Singer Sargent · 1869 · The Metropolitan Museum of Art
Same era · 1850s–1880s
The Rock of Hautepierre
Gustave Courbet · 1869 · Art Institute of Chicago
Same era · 1850s–1880s
Gustave Boyer (b. 1840) in a Straw Hat
Paul Cézanne · 1870 · The Metropolitan Museum of Art
Same era · 1850s–1880s
In the Adirondacks
William Hart · 1870 · Q847508
Same era · 1850s–1880s
On the Bank of the Seine, Bennecourt
Claude Monet · 1868 · Art Institute of Chicago
Same era · 1850s–1880s
Patio of the Palace of the Duke of Alba, Seville: Raimundo de Madrazo y Garreta painting
Mariano Fortuny Marsal · 1868 · Hispanic Society of America
Same era · 1850s–1880s
Snow at Louveciennes
Camille Pissarro · 1870 · Art Institute of Chicago

