Monoamniotic twin pregnancy in a previous caesarean with placenta accreta spectrum: a rare case report

Monoamniotic twin pregnancy with placenta accreta spectrum is a rare condition. We are presenting a case of 36-year-old, G4P1021 at 27 weeks 1 day period of gestation with previous cesarean with monochorionic monoamniotic twin pregnancy with placenta previa with placenta accreta spectrum who underwent classical cesarean section with peripartum hysterectomy under general anaesthesia at 33 weeks and 2 days of period of gestation. This case gives an insight on the grey area of appropriate management in such cases with multiple high-risk factors and possible interventions to prevent complications.