A 47-year-old man wanted in America on charges including child rape and sexual assault has been refused bail by a High Court judge in London.
Tobias Bowen left New York after being charged in 2010 and granted bail. He headed for Liberia, where he became chief executive of the Redemption Hospital, a large public hospital.
Detectives working with the US Marshals Fugitive Task Force tracked his travels, and he was taken into custody at Heathrow Airport when he visited Britain in April this year.
Bowen, who has a family home in the UK, is now facing legal moves to extradite him back to the US for trial.
The Dutch citizen's lawyers asked Mr Justice Nicol, sitting at London's High Court, to allow him bail pending the extradition proceedings.
They said it could take months to deal with the US extradition request and the alleged risk of him disappearing because of the seriousness of the accusations against him could be dealt with by appropriate bail conditions.
The judge described the circumstances surrounding the case as still "somewhat cloudy".
But he refused the bail application, saying there was a risk of failure to surrender and "the proposed bail package put forward doesn't allay my concerns as to risk".