Rectal prolapse is defined as a full thickness protrusion of the rectum through the anus [1]. It is usually associated with weak pelvic floor musculature and any increased intrabdominal pressure like pregnancy is contributory. Retroversion of the uterus is reported to occur in 15% of pregnancies in the first trimester [2]. We report a case of incarcerated retroverted gravid uterus inside a huge rectal prolapse. A 35-year-old multiparous woman, with admitted to the emergency unit of Sohag Hospital, Egypt.