The utility model discloses a pile with a pile shoulder. The pipe is provided with a columnar pile body and the disc-shaped pile shoulder which extends outwards vertical to the axis of the pile body from the pile body, and the pile shoulder is arranged on the lower half part of the pile body. The utility model further discloses a pile foundation construction method with the pile. A pile foundation structure with the pile shoulder is particularly suitable for pile foundations of geologic structures, wherein the burial depth of bed rock is small, the bed rock is bare and the strength of the bed rock is small. The technology is adopted to conduct pile position pore-forming, mechanization degree is high, location precision of the pile position is high, quality is good, good-quality the pile foundation of a high-pipe wharf can be quickly formed, and particularly the purpose that quick large-area coral island forming construction is conducted on open-sea coral island reefs with scarce ground materials under the environments of ocean construction can be achieved.