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Italian boxer Angela Carini pulled out of the Paris Olympics mid-fight on Thursday after she sustained a series of crunching blows from her Algerian opponent Imane Khelif, who last year failed a gender eligibility test at the World Championships, Reuters reported.

Khelif, whose participation in the Games was permitted by the IOC and had divided boxers, landed multiple punches in the first 30 seconds before a powerful right to Carini's nose prompted the Italian to raise her hand and return to her corner.

Her coach signalled she was withdrawing from the women's welterweight round of 16 bout. A distraught Carini fell to her knees in the ring, sobbing and declining to shake Khelif's hand after the referee declared the Algerian the winner.

"I am a fighter. My father taught me to be a warrior. When I am in the ring, I use that mindset, the mindset of a warrior, a winning mindset," Carini told reporters after abandoning the bout. "This time I couldn’t make it."

"I didn’t lose tonight, I just surrendered with maturity."

Khelif and Taiwan's double world champion Lin Yu-ting were cleared to fight in Paris after the IOC last year stripped the IBA of its status as boxing's governing body over governance issues, and took charge of the Paris 2024 boxing competition.

Both had been disqualified at the 2023 World Championships after failing International Boxing Association (IBA) eligibility rules that prevent athletes with male XY chromosomes competing in women's events.

The IOC's Framework on Fairness, Inclusion and Non-discrimination on the basis of gender identity and sex variations, offers guidelines to federations on ensuring inclusion and fairness in sport, including athletes with Differences of Sexual Disorder (DSD).

DSD are a group of rare conditions involving genes, hormones and reproductive organs. Some people with DSDs are raised as female but have XY sex chromosomes and blood testosterone levels in the male range.