Bowel cancer presenting gallbladder metastasis is clinically uncommon, and the most common site of metastasis in bowel cancer patients is liver, in addition to lung metastasis, bone metastasis and brain metastasis. Since venous blood return from gastrointestinal system enters into liver through portal vein, the most common distant organ metastasis of gastrointestinal malignant tumors such as colorectal cancer is liver metastasis. When the metastatic foci are increasing in size and seriously damage the liver function, patients may show hepatic insufficiency such as hepatomegaly, jaundice, ascites, etc. Imaging examination can find single or multiple hepatic metastatic foci. Metastases located near the gallbladder fossa may invade the gallbladder, but simple gallbladder metastases are uncommon clinically. Besides liver, colorectal cancer patients may also have other distant organs metastasis and cause corresponding symptoms, such as cough, sputum and hemoptysis in lung metastasis, persistent local pain or even pathologic fracture in bone metastasis, severe headache and sensory-motor dysfunction in brain metastasis, and so on. Gallbladder metastasis is very rare in bowel cancer patients. It is recommended that bowel cancer patients should undergo regular review after surgery in order to detect recurrence or metastasis as early as possible and give appropriate treatment as soon as possible.