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The hippo jumped from the moving truck and hit a car.
Authorities originally said the animal suffered a broken hind leg and broken tooth. A necropsy further revealed it suffered internal injuries including liver and lung damage.
Chen Bao-ji, China's council of agriculture minister, said the animal's death was a result of Sky Zoo's negligence.
"Now that the hippopotamus is dead, its keeper will face the maximum punishment stipulated in the Animal Protection Act," he said.
The sentence could include one year in prison.