A three month old male alpaca was examined for signs of acute abdominal pain including rolling, collapsing and kicking at his abdomen. Physical exam and ultrasonography revealed a cylindrical mass in the left cranioventral abdomen, suggestive of an intussusception. Results of bloodwork were unremarkable. Exploratory laparotomy was performed, and revealed a reddened 3 cm ileoileal intussusception located several centimeters proximal to the ileocecal junction. Ileal resection and end-to-end ileoileal anastomosis were performed. The alpaca’s recovery from anesthesia was complicated due to upper airway obstruction, and emergency tracheostomy was performed. In the following days, the cria recovered from surgery without complications and was discharged. Fecal examination revealed Eimeria oocysts, the majority of which were E. lamae, but a direct relationship between coccidiosis and intussusception was not determined. The alpaca remained alive five months post-operatively, at the time this paper was written.