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Meckel's diverticulum is a common congenital anomaly found in ∼2% of the population, its classic location aiding in its diagnostic criteria, is the anti-mesenteric side of the distal ileum. However, reported cases of Meckel's diverticula found on the mesenteric side, are present but rare. Here we report a case of a perforated mesenteric Meckel's diverticulum with synchronised anti-mesenteric Meckel's diverticulum, in a 70-year-old male, initially misdiagnosed as left strangulated inguinal hernia. The purpose behind this paper is to rais