Cutaneous metastases developed in a 74-year-old woman from an adenocarcinoma of the gallbladder. A biopsy specimen of a cutaneous nodule showed the presence of systemic cancer. Results of a histopathologic examination, along with the autopsy findings, established that the cutaneous metastasis was of gallbladder origin. This article reports the extreme rarity of metastases from a cancer of the gallbladder to the skin.