CAIRO (AP) __ An attack on an open market in the Sudanese city of Omdurman by a paramilitary group killed 54 people and wounded at least 158, health authorities said Saturday.

The attack by the Rapid Support Forces on the Sabrein Market was the latest in a series of deadly attacks in the escalated civil war that has wrecked the northeastern African country.

There was no immediate comment from the RSF, which has been battling the military since April 2023.

Khalid al-Aleisir, minister of culture and government spokesperson, condemned the attack, saying that the casualties included many women and children. He said the attack caused widespread destruction.

“This criminal act adds to the bloody record of this militia,” he said in a statement. “It constitutes a blatant violation of international humanitarian law.”

Sudan’s Doctors Syndicate said one mortar shell hit meters (yards) away from Al-Naw Hospital, which received most of the market casualties. It said most of the bodies were of women and children, adding that the hospital has a significant shortage of medical teams, especially surgeons and nurses.

A video posted on social media by correspondent Nezar Bogdawi from Saudi-owned Al Arabiya TV showed multiple body bags numbered and lined up outside the hospital. The wounded being treated, some on the hospital floor, included a man with a chest wound, another with a leg injury, and a man with a head wound.

Sudan’s army said in a statement late Saturday that its forces were able to “expel the remnants” of the RSF from the areas of Rifa’a, Tambul, Al-Hilaliya and Al-Hasahisa in Gezeira.

Last week, about 70 people were killed in a RSF attack on the only functional hospital in the besieged city of El Fasher in the western region of Darfur.

The conflict has killed more than 28,000 people, has forced millions to flee their homes and has left some families eating grass in a desperate attempt to survive as famine sweeps parts of the country.

It has been marked by gross atrocities including ethnically motivated killing and rape, according the United Nations and rights groups.

The International Criminal Court said it was investigating alleged war crimes and crimes against humanity. The U.S. has accused the RSF and its proxies of committing genocide in the war.

In recent months the RSF has suffered multiple battlefield blows, giving the military the upper hand in the war. It has lost control of many areas in Khartoum, the capital’s sister city of Omdurman, and the eastern and central provinces.

The military also regained control of the city of Wad Medani, the capital of Gezira province, and the country’s largest oil refinery.