Syrian activists and a monitoring group say almost two dozen civilians have been killed in the last three days of fighting in the suburb of the capital, Damascus, along with dozens of government forces and rebels.
The Britain-based Syrian Observatory for Human Rights says that since Tuesday, 22 civilians died from government shelling and bombardment of the rebel-held Eastern Ghouta suburb.
It says 29 pro-government fighters have been killed while scores of rebels were killed or wounded. The fighting is the latest breach of a local truce, brokered by Russia, Turkey and Iran.
The activist-run Ghouta Media Center says 15 civilians were killed on Wednesday, when Ahrar al-Sham rebel faction penetrated into a Syrian military compound in the area to battle pro-government fighters there. The fighting is still underway.