The man can be seen foraging in a pile of rubbish in the Syrian town of Madaya.
It has been surrounded by Syrian government forces with food and electricity supplies cut off.
Activists say a humanitarian crisis is now taking place with 40,000 people slowly starving to death.
Horrifying pictures have emerged recently showing emaciated bodies of locals who have died from starvation.
Reports from the town - which is located on the Lebanese border - say it has been surrounded by land mines so locals are unable to escape.
A pregnant woman is thought to have attempted to leave but stood on a land mine before she was shot by soldiers outside.
One activist has said about 62 people have died so far from hunger - including more than 10 children.
Speaking to the BBC, he said: "The situation in Madaya at the moment is awful - it is a humanitarian crisis.
"Citizens are dying and are eating stuff off the ground. They are eating cats and dogs.
"The situation is just so bad and there are no words or pictures to describe just how bad things are.
"We are hoping that the United Nations and the international community in accordance with the Geneva convention support the people of Madaya and open up humanitarian corridors."
Madaya is regarded as being strategically important as part of Syria's civil war.
It is one of a cluster of towns in the local area where unrest began shortly before the civil war broke out.
Speaking to online news magazine Vice, a 26-year old teacher in Madaya said: "I haven't had a real meal in three months.
"Kids are eating leaves off the trees, and the very old and very young are dying."
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