Russia's foreign ministry said it had learned of the US coroner's findings, which clear the boy's parents of wrongdoing, "with concern" and called on US officials to provide Moscow with the necessary documents, including the death certificate of three-year-old Max Shatto (born Maxim Kuzmin), to help shed light on the case.
"Only an examination of these documents will enable meaningful conclusions to be reached about the circumstances surrounding the Russian child's death and determine our possible future steps," the ministry's rights representative Konstantin Dolgov said in a statement.
President Vladimir Putin's spokesman added that efforts were under way to try to bring home Max's two-year-old brother, whose Russian name is Kirill and who is also being raised by the Shatto couple.
"Certain steps are being taken to bring back (Kirill)," Dmitry Peskov told Dozhd, a private television channel. "There are very complicated legal circumstances related to the possibility of such a return."
According to the autopsy results, the boy died from a lacerated artery in his bowel due to blunt force trauma in his abdomen. The coroner's report also noted that the child had a mental disorder that caused him to hurt himself.
Officials in the US cleared the boy's adoptive parents Laura and Allen Shatto of homicide but the couple could still face negligence charges for leaving the boy alone in their backyard, where he was found unconscious in January.
The Kremlin children's rights envoy Pavel Astakhov reacted to the US findings with scepticism.
"The triumph of justice?" he wrote on Twitter, adding that the boy had become a "victim of big politics."
Meanwhile, thousands of people, including activists from pro-Kremlin children's advocacy groups, braved a temperature of minus eight degrees Celsius to march through Moscow urging authorities to ban all foreign adoptions and demanding the return of Max's brother.
"Our children are not a commodity," one demonstrator chanted through a loudspeaker as crowds carried national flags and pictures of children who died after being adopted in the West.
"Our main demand is to bring Kirill home and ban Western adoptions," said Irina Bergset from the Russian Mothers movement, who helped organise the march.
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