Anemia and gynecological hemorrhage are common during pregnancy. For this reason an unusual cause of bleeding can pass unnoticed, and a late diagnosis is an important cause of maternal and fetal morbidity and mortality. In this case report we describe the rupture of am hepatic adenoma as cause of abdominal hemorrhage in adolescent pregnant during the labor. The patient didn't have an antecedent of oral contraceptives use; but a has a history of previous spontaneous abortion.