Cutaneous metastasis from rectal cancer is extremely rare and usually presents several years after diagnosis or resection of the primary tumor. Herein we report a case of a 45 years old male who presented with a history of rapidly progressive swelling in the neck and constipation for the past 2 months. He was evaluated and diagnosed to have rectal Adenocarcinoma with cutaneous, musculoskeletal and extensive lymphnodal metastases. Unfortunately, he did not follow up on treatment due to poor general condition and succumbed to the disease after 2 months. Surgeons should maintain a strong suspicion of cutaneous metastases when patients with rectal cancer have new or evolving skin lesions.