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Adult intussusception is a rare disease without classical symptoms. A delay in diagnosis may result in a fatal progression to complete bowel obstruction, ischemia, necrosis, and perforation. The association of a tumor with intussusception in young adults is rare. We report a case concerning a young male without a family history of bowel cancer presenting with a proximal ascending colon intussusception secondary to colonic carcinoma. This case puts insights on how intussusception and possible colon carcinoma must be included in the differential diagnosis even in young adults who have a persistent abdominal complaint. A high index of suspicion and an early computed tomography scan were required to prevent delayed diagnosis and the development of complications.