when two goiters (abscess filled sore) grow together over time and tie into a giant puss filled knot.
That skanky bitch Sally went camping for a month. She got slammed 30 times and didnt wash her clam once ! all of her pubic hairs became ingrown, unleashing a field of goiters. eventually all the goiters grew together and became tangled into a wall of un-combale goiter knots. (soaked in piss)