This paper presents the appearances of inverted Meckel diverticulum wi
th an irreducible intussusception on air enema in four children. The i
nverted Meckel diverticulum appeared as a bulbous (3) or triangular (1
) filling defect in the air column projecting off the distal end of th
e soft tissue mass of the irreducible intussusceptum. The bulbous defe
ct appears to be highly suggestive, and may be specific, for inverted
Meckel diverticulum. Earlier recognition of the presence of the Meckel
diverticulum as the lead point of the intussusception could have chan
ged the management in two of the children.