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Actually its not the most offensive swear word in arabic.

The word origin is from the west cost of Saudi Arabia ( Jeddah) then moved to the north to Syria, Lebanon , Palestine (where apparently they use it the wrong way).. etc ..
Literally it means "your mothers vagina" , but its short for " shove it up your mothers vagina " its used to be " fee Kuss ummak "
Usage: said when someone refuses to give you something , you tell him , kuss ummak I don’t want it . as in you can keep it.
Ali : Give me your car keys.
Fahad: No
Ali : kisumuk I dont want your fuckin car.
kisumuk by AK Omar June 11, 2006
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This word is one of the most offensive 'swearwords' in arabic. It is very disrespectful when used, as it usually starts a fight. It basically means 'your mothers vagina' but in a much vulgur way.
But between friends, it is used in an innocent way.
'Who the hell do you think you are? Get out of my sight! KISUMUK!!!'
kisumuk by M-S September 25, 2005
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Kusumukh 

An offensive term used for people whose name starts with the letter 'b' and ends with 'n' associated with monsters, usually the leader. Can be defined as the pussy of an old woman, usually one that is very wrinkled and hairy.
Kusumukh
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Its someone called siddharth . Specifically with initials N .
Siddharth is a kisumu
He is an idiot.
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