Meckel's diverticulum is the most common congenital anomaly of the gastrointestinal tract with a complication risk of 4 – 6%. Enterolith formation is a rare complication of Meckel's diverticulum; rarely does a Meckel's diverticulum containing an enterolith, presents as a perforation in diverticulum and acute abdomen. Our case highlights one such unusual presentation in a patient presenting with abdominal pain.