Although the first choice of treatment in thoracoabdominal gunshot injury is surgery, nonoperative treatment has increasingly been raised recently. On the other hand, there isn't clinical experience yet in nonoperative treatment of pregnant patients with gunshot injury. In this study, the management of a pregnant patient with liver damage due to a gunshot injury who treated nonoperatively was presented. An 18-year-old female patient with 20 weeks gestation was admitted to an external center with a gunshot injury and a computed tomography showed a liver injury. When she was admitted to our hospital eight hours after the injury, her vital signs were stable. Therefore, we decided to manage nonoperatively. She was closely monitorized in intensive care unit and followed up by physical examination and ultrasonography. Nonoperative management is a choice of treatment in carefully selected patients and well-defined strategy. Pregnant patients are a patient group that is most likely to benefit from this approach, if well managed.