Double whammy: Acute suppurative appendicitis on top of Meckel's diverticulum.

Meckel's diverticulum (MD), a congenital abnormality occurring in 0.3% to 3% of individuals, shares overlapping clinical features with acute appendicitis (AA), a common surgical emergency, making simultaneous presentation diagnostically challenging. An 11-year-old boy presented with right lower abdominal pain, fever, and loss of appetite, exhibiting positive Rovsing and Psoas signs.