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from the *latin: *proct- anus, and *ostomy- the creation of a new hole. In simple terms, the shortening of 'ripping someone a new one.'
earl: man, clare just got all pissed off when she heard i dented the car.
phil: woa, she must've given you one bad proctostomy.
by lil' snoopy January 20, 2010
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