Sir,We are pleased to have another explanation of a new variant by the learned authors. Anorectal malformations with congenital pouch colon are complex malformations, with regard to the etiogenesis involving the distal bowel, especially the colon, terminal ileum, and lower urinary tract. This results in a spectrum of variations of this malformation. Having said that ‘congenital pouch colon associated with ileovesical and colovesical fistulae’ and ‘congenital pouch colon with terminal ileum duplication, resulting in one end opening into the urinary bladder (ileovesical fistula) and other end opening into the pouch colon that has colovesical fistula’ is the same statement as the former, but with more comprehensive details.[1] Moreover, our patient had no Mullerian structure anomalies. We acknowledge the authors for improving the understanding of our case.