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BackgroundSpontaneous infarction or hemorrhage of focal nodular hyperplasia (FNH) has rarely been reported in the literature. Case outlineA 43-year-old woman presented with upper abdominal pain and anemia. CT scan showed an enormous perihepatic hematoma. Trisegmentectomy successfully dealt with the problem. ConclusionAlthough conservative management of FNH is often adopted, this case illustrates that these lesions can undergo massive bleeding.

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Although conservative management of FNH is often adopted, this case illustrates that these lesions can undergo massive bleeding.