We report an unusual case of a true atherosclerotic dorsalis pedis aneurysm in a relatively young (53-year-old), ex-semi-professional soccer player patient. This lesion is a rare entity and due to its location may require surgical intervention and removal. The presentation, the diagnostic evaluation, and the surgical treatment of the aneurysm are discussed. Pathological analysis did confirm atherosclerotic findings despite the rapid clinical onset of the lesion and the possible traumatic origin.