A wave of Syrian air strikes on Sunday killed at least 25 civilians and wounded dozens across the besieged rebel enclave of Eastern Ghouta near Damascus, a monitor said.
The deadliest raids hit the town of Hammuriyeh, killing 17 civilians including six children, the Britain-based Syrian Observatory for Human Rights said.
Other air strikes on the towns of Arbeen, Beit Sawa, Harasta and Misraba killed eight civilians.
The Observatory said at least 75 people were wounded and the death toll was likely to rise given the critical wounds suffered by dozens of people.
In Hammuriyeh, an AFP photographer saw men carrying the body of a victim wrapped in a blue blanket across a rubble-littered street, a shoeless foot sticking out.
The strikes appeared to hit a modest residential neighbourhood, smashing a small convenience store and caking a vegetable stand in a layer of dust.
Victims were taken to a nearby clinic where doctors could be seen treating a man wincing from a gash above his knee.
In another room, the lifeless soot-covered body of a boy lay in a pool of blood.
Eastern Ghouta, one of the last remaining rebel strongholds in Syria, has been under a heavy government siege since 2013 that has caused drastic food and medical shortages.
An estimated 400,000 people still live in the enclave, and the United Nations has warned that hundreds are at risk of death if they are not evacuated for urgent medical treatment.
The area is one of four “de-escalation zones” agreed earlier this year by regime allies Russia and Iran and rebel backer Turkey aimed at curbing violence across war-ravaged Syria.
Syria’s government agreed last week to a ceasefire in the region to coincide with the resumption of UN-led peace talks in Geneva.
More than 340,000 people have been killed in Syria since the conflict began in March 2011 with anti-government protests.