Background: Gallbladder (GB) diseases, either acute or chronic, can develop rare complications like the development of cholecystocutaneous and cholecystohepatic fistula. External fistula can occur through various means, including spontaneous, posttraumatic, or iatrogenic origins. Cholecystohepatic cutaneous fistula formation has not been reported in the literature. Therefore, the available information on this condition is limited. Case description: We are reporting a case of a gentleman in his 70s with a history of sealed GB perforation with perihepatic and anterior abdominal wall abscess, and incision and drainage (I&D) of the abscess done elsewhere. Thereafter, he presented to us with a bilioserous discharge from the I&D site. He also had a history of ERCP and stent placement for a CBD calculus. We performed a laparoscopic converted to open cholecystectomy with CBD exploration. Intraoperatively, methylene blue dye injected through the skin opening showed the dye coming through the inferior surface of the liver, and its presence in the GB confirmed the presence of cholecystohepatic cutaneous fistula. Conclusion: It is possible that the initial formation of a cholecystohepatic fistula occurred following the type II variant of GBP. Subsequently, the needle aspiration and I&D may have led to the formation of a type III cholecystohepatic cutaneous fistula. Despite its rarity, the possibility of a cholecystohepatic cutaneous fistula should be considered in patients presenting with a chronic draining fistula in a patient with a history of an invasive procedure like needle aspiration or I&D and unusual abdominal pain. The possibility of liver parenchyma involvement should not be missed to avoid future problems.