By Nidal al-Mughrabi and Bassam Masoud
CAIRO/GAZA (Reuters) -Fighting raged on Saturday around Gaza's main hospital where Israel says it has so far killed more than 170 gunmen in an extensive raid, which the Palestinian Health Ministry says has also resulted in the deaths of five patients.
The armed wing of Hamas and the Islamic Jihad said their fighters were engaged in battles with the Israeli forces outside and around the vicinity of Al Shifa hospital in Gaza City. Hamas denies any presence inside the facility.
Israeli troops stormed Al Shifa in the early hours of Monday and have been combing through the sprawling complex, which the military says is connected to a tunnel network used as a base for Hamas and other Palestinian fighters.
The Gaza health ministry said five wounded Palestinians "besieged" inside Al Shifa died as a result of being denied proper care, water and food for the past six days and that the condition of other injured patients was deteriorating.
Israel's military, which has lost two soldiers in combat at the hospital, says it is preventing harm to civilians, patients and medical staff there and providing them with food, water and adequate access to healthcare.
Reuters has been unable to access the hospital and verify either account.
Al Shifa, the Gaza Strip's biggest hospital before the war, is now one of the few healthcare facilities even partially operational in the north of the territory, and had also been housing displaced civilians.
Residents living nearby said Israeli forces blew up dozens of houses and apartments in the streets around the hospital and bulldozed roads. They said the nearby private Al-Helo Hospital was also hit by the army.
The Hamas-run Gaza government media office said Israeli tanks hit several buildings at Al Shifa Hospital and set fire to a surgery department and that around 240 patients and their companions as well as dozens of healthcare staff had been detained.
The Israeli military said that more than 350 Hamas and Islamic Jihad militants have so far been detained at the hospital and a total of 800 people have been questioned.
HAMAS DENIES ARMED PRESENCE
In recent days, Hamas spokespeople have said that the dead announced in previous Israeli statements were not fighters but patients and displaced people.
Israel faced heavy criticism last November when troops first raided the hospital. The troops uncovered tunnels there, which they said had been used as command and control centres by Hamas.
Israeli forces shot and killed Palestinian pharmacologist Mohammad Al-Nono outside Al Shifa hospital after they ordered him to evacuate, along with some colleagues, his family said. A member of the family said they learned about his death from other doctors. The Israeli military had no immediate comment.
Nono is the brother of Taher Al-Nono, who serves as the media adviser to Hamas's political chief Ismail Haniyeh.
Hamas media said 19 Palestinians were killed in Gaza City on Saturday and several others wounded at the Kuwait roundabout while they waited for aid trucks.
"We survived death, they shot at us, there are many martyrs, there are many injured, we almost died to get our children a bite to eat," said Alaa al-Khoudary, a resident of Gaza City who had just returned from the Kuwait roundabout carrying a bag of aid.
The Israeli military said the incident was being investigated, but "preliminary findings have determined that there was no aerial strike against the convoy, nor were there incidents found of IDF forces firing at the people at the aid convoy."
"The IDF facilitated an aid convoy to deliver food to people in Northern Gaza. Upon its approach to the designated distribution point, the convoy was intercepted and looted by hundreds of Gazans, north of the humanitarian corridor," the Israeli military statement said.
In Rafah, where over a million people have been sheltering, health officials said an Israeli air strike on a house killed eight people and wounded others.
The Israeli military said it killed at least 20 gunmen in air strikes and close-encounter combat in central Gaza and in the southern area of Khan Younis.
U.N. Secretary-General Antonio Guterres visited the Egyptian side of the Rafah crossing on Saturday.
It was time for Israel to give an "ironclad commitment" for unfettered access to humanitarian goods throughout Gaza, said Guterres, who also called for an immediate humanitarian ceasefire and the release of Israeli hostages held in Gaza.
Separately, the armed wing of Hamas said in a statement on Saturday that a 34-year-old Israeli hostage had died due to "lack of medicine and food". Israel said last month it had pronounced dead 31 of the more than 100 remaining hostages in Gaza.
More than 32,000 Palestinians have been killed since the start of Israel's offensive in the Gaza Strip, according to health authorities in the Hamas-ruled enclave.
The war was triggered when Hamas fighters crossed into southern Israel on a rampage on Oct.7, killing 1,200 people and capturing 253 hostages, according to Israeli tallies.