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

Laishram Trinity Meetei; Sheral Raina Tauro; Sonam Dolma; Chirom Pritamkumar Singh

doi:10.18203/2320-1770.ijrcog20252760

Authors

Laishram Trinity Meetei Department of Obstetrics and Gynaecology, Regional Institute of Medical Sciences, Imphal West, Manipur, India https://orcid.org/0000-0001-8576-9166
Sheral Raina Tauro Department of Obstetrics and Gynaecology, Regional Institute of Medical Sciences, Imphal West, Manipur, India https://orcid.org/0009-0004-5668-4269
Sonam Dolma Department of Obstetrics and Gynaecology, Tawang District Hospital, Arunachal Pradesh, India
Chirom Pritamkumar Singh Department of Obstetrics and Gynaecology, Regional Institute of Medical Sciences, Imphal West, Manipur, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20252760

Keywords:

Cord entanglement, Monochorionic monoamniotic twin, Placenta accreta spectrum

Abstract

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.

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