This is either really bad breath, as in, breath that tastes like a butt, or a physical malformation where one has a tongue protruding from one's anus.

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A slang term for a man's penis. This is normally accompanied by a pair of testicles.

In the 2001 edition of Ripley's Believe It Or Not, the story of a man named jeffrey summers lost his tongue in a freak accident and had a section of his behind used to create a tongue so that he would retain the ability to speak.

The result of having a section of your ass removed to serve as a replacement for your tongue which has been destroyed due to unwarrented participation in certain intriguing activities.

A tongue that comes from your butt. An insult to someone. An expression or way of saying something sucks.