The four-year-old girl who was raped two days ago in Keshav Puram suffered severe genital injuries, including in her rectum and lower intestinal tract, said sources at Safdarjung hospital. The girl was referred to Safdarjung from Bhagwan Mahavir hospital.

Doctors had to perform a colostomy Saturday night, which is a procedure to create an artificial passage till her intestinal injuries heal.

“There appears to have been a very brutal penetration; her entire genital tract has injuries,” said a senior doctor.

Sources said the rectal injuries suggested the girl had been raped and sodomised.

After an initial medical examination Saturday at about 8.30 pm, doctors immediately rushed her for the colostomy procedure.

“The injuries are grievous and will require several surgeries. But before that, we had to perform a colostomy to create an alternate passage. This will help avoid infection,” said the doctor.

Doctors examined the wounds again Sunday. “There does not seem to be any infection yet. We are planning for corrective surgeries Monday after the team evaluates her condition. She also has injuries in her vaginal tract including tears which will need repair,” said a source.

Sources said a colostomy is routinely done in cases of severe sexual trauma.

“Injuries to the lower intestine are seen in child rape victims far more commonly than adults. They are always indicative of very severe trauma,” said a doctor. Sources said the girl also had injuries on her upper body. “There were cuts and bite marks on her face, abdomen and chest,” said a source.

Sources said no foreign bodies had been retrieved during the medical examination. After the surgery, the girl was admitted in the high dependency unit of the hospital. “A team of gynaecologists and paediatricians are monitoring her. After she recovers, a psychiatric team will be deputed to counsel her,” said a hospital official.

Dr A K Rai, Safdarjung hospital medical superintendent said, “The girl was brought to us around Saturday. A team of experts is taking care of her. Two surgeries have been performed to manage her initial wounds. After she recovers from these, we will plan the future course of action in her treatment.”

Dr Rai said the medical board had submitted its opinion to police.

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