Abstract Background: The prevalence of combined incarcerated gravid uterus with rectal prolapse is extremely rare condition and only two case have been reported before. Aim of Study: This study aimed to report a third case report of incarcerated gravid uterus within rectal prolapse to raise awareness of its diagnosis and management. Patient and Methods: Case: A case of 33 year old lady with prolapsed incarcerated gravid uterus (gestational age about 12 weeks) in a rectal prolapse and managed by successful manual reduction under anesthesia followed by rectal cerclage. The pregnancy passed without complications and ended by giving a healthy girl. Conclusion: Incarcerated retrovertd gravid uterus within rectal prolapse is a very rare case, so the obstetricians should be aware of its risk. Gentle manual reduction under anesthesia is an effective procedure with limited complications.