old-fashioned A large distended belly, as might result from heavy consumption of beer; a beer belly. Primarily heard in US, South Africa. I'd like to run a marathon some day, but first I need to do something about this German goiter of mine. The sheriff sported a German goiter so big that his uniform could barely contain it.

old-fashioned slang A particularly large, distended belly, especially as a result of drinking excessive amounts of alcohol; a beer belly. The sheriff of the small town stood a mere five-foot-five, with a Milwaukee goiter so big that it looked as though he hadn't put a bottle down in five years. I always kept in pretty good shape, but after I had kids, I noticed myself starting to get a bit of a Milwaukee goiter.