Dumoulin was injured in a pileup about six km from the line of stage four

Former champion Tom Dumoulin has withdrawn from the Giro d’Italia shortly after the start of stage five after failing to recover from a crash.

The Dutch rider, 28, injured his knee in a heavy fall on Tuesday’s fourth stage and was four minutes 30 seconds behind the leaders.

Dumoulin had been cleared to race by his medical team and the 2017 champion said: “I want to at least try.”

Team Sunweb later tweeted: “Dumoulin’s injuries have proved too painful.”

Primoz Roglic leads the race, 35 seconds ahead of Britain’s Simon Yates going into Wednesday’s stage.

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