When you're raging in CS:GO you then will come to a complete life of swearing everytime you die and you will run out of words and make them up and create this.
Similar to kiss my ass, only deeper. Typically used in an escalating argument when a death blow is needed. Generally modified or enforced with fuck face, see example below.
An expression used to signify extreme anger in any situation. Only to be used when you are so emotionally distressed the simple term of "fuck" doesn't capture your true frustration.
** Your playing some Mario Kart Wii and you get blue shelled on the last lap and lose **
Brian : Fuckkk yeah, you got raped in the face
Damola : Aw Tits In My Asshole, fuck you and that blue shell !
Toxic little kid: Dude you suck ass at this game. I don’t understand why anyone wants to play with you or even talk to you.
Me: Bro my asshole hurts from taking shits that I don’t give.
Everyone in the voice channel: *laughs*