A Meckel's diverticulum, a true congenital diverticulum, a vestigial remnant .It connects the yolk sac to the small intestine in the early embryonic life. It remains without symptoms. In the children symptoms occur below 2 years. It may contain heterotopic gastric, pancreatic tissue. Presentation can include gastrointestinal bleeding, obstruction, perforation, and volvulus. Because of this wide range of clinical scenarios it is important for a clinician to have a high index of suspicion to prevent significant complications. Investigations like Ultrasonography, Computed tomography (CT scans) and Technetium 99m pertechnate scan helps in diagnosis Treatment is surgical. We are presenting the management of the six cases supported by a review of the literature. The five patients presented with complications and needed emergency operation. This is from the rural set up where the advance facilities are limited. The knowledge of its anatomical and patho-physiological properties is essential to deal with such complications.