The context is unclear, and I can only deduce the meaning from this. Mr Wiggles is 23 years old at the time of his passing, so he is already an adult when he was circumcised. Perhaps he had no choice (maybe for religious purposes?), but whatever it was it didn't go as cleanly as it should and he died. As for the cat drawing, I can only assume it has only a passing connection to Mr Wiggles.

The bigger question is how the heck you found this