Jagannath by Karin Tidbeck

Great-Aunt could no longer expand, which was as it should be. Her skin, which had previously lain in soft folds around her, was stretched taut over the fat pushing outward from inside. Great-Aunt raised her eyes from her vast body and looked at her sisters who each nodded in turn. The Nieces stepped forward, removing the pillows that held the Aunts upright. As she lay back, Great-Aunt began to shudder. She closed her eyes and her mouth became slack. A dark line appeared along her abdomen. As it reached her groin, she became still. With a soft sigh, the skin split along the line. Layer after layer of skin, fat, muscle, and membrane broke open until the breastbone was exposed and fell open with a wet crack. Golden blood washed out of the wound, splashing onto the couch and onto the floor, where it was caught in a shallow trough. The Nieces went to work, carefully scooping out organs and entrails. Deep in the cradle of her ribs lay a wrinkled pink shape, arms and legs wrapped around Great-Aunt's heart. It opened its eyes and squealed as the Nieces lifted away the last of the surrounding tissue. They cut away the heart with the new Aunt still clinging to it, and placed her on a small pillow where she settled down and began to chew on the heart with tiny teeth.