Cinncinati Pile Up Share definition Flag A man takes a shit into a females butt-hole and thrusts the shit into her butt-hole with his erected penis. I couldn't believe it happened but I gave Kasey a Cinncinati Pile Up. Cinncinati Pile Up by Tenourmous May 13, 2006 0 0 Get merch Get the Cinncinati Pile Up mug. Buy Now — $32.95 See more merch