You could use Starlette's request.form() method to parse the body, which would return a FormData object containing both file uploads and text input. For more details and references, please have a look at this answer, on which the following example is based. Another solution would be to use the approach demonstrated in Option 1 of this answer.
Also, if, for any reason, you would like to use a def instead of async def endpoint, please have a look at this answer on how to read the file contents inside a def endpoint. You might find this answer helpful as well.
Working Example
app.py
from fastapi import FastAPI, Depends, Request, HTTPException
from starlette.datastructures import FormData
app = FastAPI()
async def get_body(request: Request):
    content_type = request.headers.get('Content-Type')
    if content_type is None:
        raise HTTPException(status_code=400, detail='No Content-Type provided!')
    elif (content_type == 'application/x-www-form-urlencoded' or
          content_type.startswith('multipart/form-data')):
        try:
            return await request.form()
        except Exception:
            raise HTTPException(status_code=400, detail='Invalid Form data')
    else:
        raise HTTPException(status_code=400, detail='Content-Type not supported!')
@app.post('/')
async def main(body = Depends(get_body)):
    if isinstance(body, FormData):  # if Form/File data received
        msg = body.get('msg')
        items = body.getlist('items')
        files = body.getlist('files')  # returns a list of UploadFile objects
        if files:
            for file in files:
                print(f'Filename: {file.filename}. Content (first 15 bytes): {await file.read(15)}')
        return 'OK'
test.py
import requests
url = 'http://127.0.0.1:8000/'
data = {'items': ['foo', 'bar'], 'msg': 'Hello!'}
files = [('files', open('a.txt', 'rb')), ('files', open('b.txt', 'rb'))]
 
# Send Form data and files
r = requests.post(url, data=data, files=files)  
print(r.text)
# Send Form data only
r = requests.post(url, data=data)              
print(r.text)