Intussusception is more common in the pediatric age group and very rare in adults. The presentation, etiology and treatment of adult intussusception is different from that in pediatric age group. Adult colonic Intussusceptions account for only 5% of all cases, out of which only 1% present as obstruction. Often the diagnosis in adults is delayed due to vague, chronic and non-specic symptoms that are either ignored or treated symptomatically. Rectal prolapse is more common in geriatric age group compared to younger population. Colonic intussusception can be associated with a rectal prolapse. In children the symptoms of intussusception include palpable abdominal mass, fresh blood in stools and colicky abdominal pain. However, in adults, symptoms consist of bloody stool, constipation or symptoms suggestive of malignancy such as weight loss, altered bowel habits and loss of appetite. We present a case of a complete rectal prolapse with strangulated rectosigmoid intussusception for which sigmoid resection was done with reduction of rectal prolapse, rectosigmoid anastomosis, mesh rectopexy and diverting transverse colostomy