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Acute intestinal obstruction is a common surgical emergency worldwide, and it is a result of different causes. Meckels diverticulum is a well - established cause of intestinal obstruction in adults. However, cases of intestinal obstruction arising from internal herniation of bowel through the mesentery of Meckels diverticulum is a very atypical entity. Precise diagnosis of internal herniation of bowel through the mesentery of Meckels diverticulum is not possible preoperatively owing to its rarity. We reported a very rare and especial case of a young gentleman with intestinal obstruction as a complication of herniation through mesentery of Meckels diverticulum diagnosed intraoperatively and managed successfully by timely and immediate surgical interventio [Arch Clin Exp Surg 2018; 7(1.000): 44-46]