Introduction: Ileal intussusceptions is the invagination of the small intestine within itself and accounts for 1% of cases of acute obstruction. However, physicians do not initially consider intussusception as a possible diagnosis of obstruction due to its rarity in adults. Case Report: 55-year-old female who was admitted to the Emergency Department with continuous abdominal pain. Ultrasonography and computed tomography revealed ileal intussusceptions. The patient underwent surgical removal of the segment of the small bowel and end to end anastomosis done. Case Discussion: Ileal intussusceptions with presence of Chronic abdominal pain make the surgeon difficult to choose conservative or surgical approach. Conclusion: Adult intussusceptions is a rare disease and it differs from childhood intussusception in its presentation, cause and treatment