A 9-year-old girl who was taken as a sex slave by Isis was raped by 10 militants and is now pregnant, it has been reported.
According to an aid worker, the girl is a member of the Yazidi Christian minority religious group, which faces persecution across Isis-held territory.
She had been flown out of Iraq by a Kurdish aid agency, the Toronto Star reported, and is now being treated by a medical charity in Germany.
But Yousif Daoud, a Canada-based aid worker who has just returned from the region, told the Star the girl was "mentally and physically traumatised" after the abuse she had suffered, and there are fears she may yet not survive her ordeal.
"This girl is so young she could die if she delivers a baby," he said. "Even a caesarian section is dangerous."
When she was found the girl "was in very bad shape", Daoud said. "She was sexually abused by no fewer than 10 men. Most of them were frontline fighters or suicide bombers who are given girls as a reward."
Isis released 216 Yazidis on Wednesday after holding them captive for eight months, in a mass release some see as a sign of the increasing pressures put on the militants by US-led air strikes and an Iraqi ground offensive.
But Daoud, speaking under a pseudonym, gave a very different reason for Isis to release women and girls its militants have already abused.
He said they faced the stigma of lost chastity among the conservative Yazidi society.
"Sending back those girls and women is a way of shaming the whole community."
The 9-year-old was among hundreds of kidnapped girls and women who had made their way back to Kurdish-controlled land prior to Wednesday's release.
But a further 40 children were among the more than 200 newly-freed captives. The rest were mostly elderly - and all bore signs of neglect and abuse.
The handover took place in Himera just southwest of Kirkuk, 290 kilometres north of Baghdad, and there were emotional scenes as they were checked over by peshmerga field doctors.
Some suggested they were led to believe they were being taken for execution when piled on to buses by Isis. "We are very happy now," said Mahmoud Haji, one of the released Yazidis. "We were worried that they were taking us to Syria and Raqqa."
UN Secretary-General Ban Ki-moon welcomed the release, his spokesman said.
Stephane Dujarric said: "Obviously, any release of innocent civilians is to be welcomed and I think one couldn't help but being moved by the pictures."