Panamanian Ass Hat Share definition Flag A sexual postion so strange that no one is quite sure what it involves! I went home with this chick last night and gave her a Dirty Sanchez and a Panamanian Ass Hat! Panamanian Ass Hat by Otis P. Driftwood June 21, 2009 0 0 Get merch Get the Panamanian Ass Hat mug. Buy Now — $32.95 See more merch