Although approximately 10% of the population does not possess a dorsalis pedis artery 1 , some authors postulate as to the potential future complications associated with restricting blood flow to the foot. 11,13 Case PresentationA 52 year old male resident of the Cayman Islands initially presented to the emergency room for a complaint of epigastric and right upper quadrant pain. A consultation was placed with the Podiatry Service regarding a mass on the dorsum of his right foot.During the initial exam, the patient states that the "bump" has been on top of the right foot for more than seven years. The patient relates that when he first noticed the lesion there was sharp, stabbing pain.