Militia fighters attacked, kidnapped and raped en masse a large group of women in an isolated area of Central African Republic last month, Doctors Without Borders said Thursday.
The medical charity treated 10 survivors of the Feb. 17 violence near Kiriwiri, a village in the country's northwest.
Fearing further attacks if they tried to reach a hospital, the women were unable to seek medical treatment until about two weeks later, it said.
Many other victims remained behind, fearing that, as rape victims, they would be stigmatized in their community.
"Some were totally in shock, others paralyzed by fear or unable to talk about the incident. Some of the women had open wounds caused by blades," said Soulemane Amoin, a midwife at the hospital in the town of Bossangoa, where the women were treated.
"It was terrible to see. It broke my heart."
Central African Republic descended into chaos after mainly Muslim Seleka rebels ousted president Francois Bozize in 2013, provoking a spate of killing by Christian anti-balaka militias.
Despite the deployment of a 12,000-strong U.N. peacekeeping mission, rival armed groups still stalk much of the countryside.
The U.N. Security Council approved an extra 900 peacekeepers in November to help to protect civilians.
Gabon, which contributes around 550 soldiers to the mission, announced Thursday it was planning to withdraw its contingent, citing what it said was a "progressive return of peace and stability."
The rapes near Kiriwiri coincided with a surge in violence in Bossangoa and the surrounding areas.
In its statement, Doctors Without Borders said the women had left their village to fetch water and tend to their fields when the militiamen arrived. Some women fled, but others were grabbed and brought back to the militia's base where they were repeatedly raped before being let go, it said.
Doctors Without Borders did not identify the group behind the assault.
"This attack is one of the consequences of the new wave of senseless violence that broke out at the end of 2016 and continues without letup," said Paul Brockmann, who heads the Doctors Without Borders mission in Central African Republic.
The hospital at Bossangoa has treated 56 rape victims since September, up from 13 in the previous eight months, Doctors Without Borders said.
It has also treated around 300 victims of rape and sexual assault from around the country each month this year at its main hospital in the capital, Bangui.
