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Syrian warplanes bombed a crowded market near the Turkish border on Monday, killing at least 20 and leaving the wounded struggling to reach aid in nearby towns, the aid group Doctors Without Borders reported, according to CNN.

The airstrike took place in the northern town of Azaz, where the public hospital was ravaged by another bombing raid in December, according to the aid group, known by the French acronym MSF. It said the wounded were sent to other facilities in the region, including a field hospital it runs near the city of Aleppo and a hospital in Kilis, on the Turkish side of the frontier.

"The cars and ambulances kept on coming, and patients flooded the hospital," said Adriana Ferracin, an MSF nurse in Syria. "We received many patients with limb amputations, head injuries, and bleeding eyes and ears."

The victims were among the 151 people opposition activists said had been killed Monday in Syria's nearly 2-year-old civil war, a conflict the United Nations estimates has claimed more than 60,000 lives to date.

In addition to those killed in Azaz, at least 99 people were wounded, MSF said. It's unclear exactly how many people were struck in the bombing, because many people in the violence-stricken area now seek secretive medical care, fearing that warplanes will target hospitals, according to the organization.

People in the Azaz area are very vulnerable, with limited access to medical care and food, and escalating prices for essentials, such as bread, wood and clothing, according to MSF.

But they're not alone. A new report from the U.S.-based International Rescue Committee said such problems are pandemic in Syria and its neighboring countries as a result of the civil war, creating a "humanitarian emergency."

The IRC said inside Syria, refugees are constantly on the move, enduring both violence and dwindling supplies.

For women, the situation is even worse, as sexual assaults have become "a significant and disturbing feature of the Syrian civil war."