A 78-year-old man was undergoing treatment with sorafenib for hepatocellular carcinoma with vascular invasion, tumor thrombi in the portal vein and inferior vena cava, and multiple lymph node metastases. Having complained of loss of appetite and back pain for the previous two days, he was diagnosed with hemorrhagic cholecystitis and underwent emergency laparoscopic cholecystectomy. The neck of the resected gallbladder contained a tumor projecting into the lumen, which was considered to have caused obstruction, inflammation, and hemorrhage. The patient was also taking anti-platelet medication, which may have contributed to the bleeding. Pathological examination of the gallbladder tumor identified it as a metastasis of hepatocellular carcinoma. The patient's postoperative recovery was uneventful, and he was quickly able to resume treatment for the hepatocellular carcinoma. Gallbladder metastasis of hepatocellular carcinoma is infrequent, and a rare case in which this was combined with hemorrhagic cholecystitis requiring emergency treatment is reported.