GATA4 and hydronephrosis: The index patient in the family presented prenatally with isolated CDH, although postnatally with syndromic features including bilateral hydronephrosis, undescended testis, and patent foramen ovale.12 In addition, 8p23.1 microdeletions encompassing GATA4 have been reported prenatally with CDH, congenital heart defects, and growth restriction.19,20 Awareness of the whole phenotypic spectrum is needed and can only be improved through accumulating published cases; thus, it is important to report novel findings like our case.