Autoimmune liver disease is characterized by autoimmune hepatitis and primary biliary cholangitis. Patients with this disease may progress to cirrhosis and develop complications of decompensated cirrhosis such as ascites, hepatic encephalopathy, and gastrointestinal bleeding. Spontaneous bleeding from liver rupture is extremely rare in these patients. The article describes a case of presumed spontaneous bleeding in a liver rupture in a patient with autoimmune hepatitis - overlap syndrome of primary biliary cholangitis and cirrhosis. A multidisciplinary evaluation led to the choice of conservative management, which successfully stopped the bleeding. The report serves as a reference for the clinical recognition and management of such rare complications.