Abstract: Fibrolamellar hepatocellular carcinoma (FLHCC) is a rare primary liver cancer that affects young adults with no prior liver disease. Multinodular with poor prognosis FLHCC is an uncommon presentation of this tumor. We report in this paper the case of a 20 year old man who presented with abdominal pain of the right hypochondrium associated with hepatomegaly. The imaging studies showed multiple nodular lesions of the liver, the histopathology of which revealed a FLHCC. In this case report, we discuss the characteristics of the FLHCC and we review the literature regarding clinical presentation and treatment.