The purpose of this report is to describe the clinical course and pathological findings in a horse admitted to the emergency service of the University of Georgia Large Animal Teaching Hospital for evaluation of colic, fever and diarrhoea of several days' duration. A presumptive historical diagnosis of colitis was made initially, but, due to the lack of faecal output during the first 12 h of hospitalisation and subsequent examination findings, an impaction of the ascending colon was suspected. Initial therapy consisted of rehydration with oral fluids and management of the abdominal pain with analgesic therapy. The horse did not respond to medical therapy and because of signs of persistent abdominal pain and financial constraints, the owner elected euthanasia after several days of supportive care. At necropsy, the horse was diagnosed with a colocolic intussusception.