Thousands of Syrian civilians fled from a rebel pocket in eastern Ghouta on Thursday, crossing by foot to army positions in the first mass exodus from the besieged enclave since Syrian government forces launched an assault to capture it a month ago.

Men, women and children staggered under the weight of blankets, bags and suitcases as they walked along a dirt road to army lines on the outskirts of Hammouriyeh town. Some wept.

One man carried a baby in a suitcase, the child's head and arms peaking out through the zipper. Others reached government positions in the nearby town of Beit Sawa on wheelchairs.