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1.
Way to insult Virgin Mary. Italians use it when they are very angry or feel hard pain.
Similar expressions connected to the Virgin Mary are "Madonna Bocchinara", "Madonna Puttana".
Italian creativity is often shown in the creation of similar expressions.
Mi ha rubato le scarpe di gomma, porca madonna!
by Ripallo November 05, 2006
 
2.
Big insult to divinity, in paticular to Maria, the mother of Jesus.
Porca Madonna l'è freddo!
How the fuck much is cold!
by bestemmiatorenumberone September 08, 2008