Background: The association of intestinal malrotation and intussusception is known as Waugh's syndrome. We report a case of a 3-month-old infant with this syndrome and volvulus of the intussuscepted intestinal segment. Case Report: A three day old infant with failure to thrive presented with acute intestinal hemorrhage. Tubular mass on abdomen examination, gasless rectal ampulla on X-ray, and intussusception on ultrasound was suggestive of intestinal obstruction. Laparotomy showed ileo-colic intussusception, volvulus of intussuscepted segment, and intestinal malrotation. Conclusion: We emphasize the early diagnosis and urgent operative treatment to avoid vascular compromise of the midgut.