Usually means: Laugh extremely hard, uncontrollably.
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We found 7 dictionaries that define the word split a gut:

General (2 matching dictionaries)
  1. split a_gut: Dictionary/thesaurus
  2. split a_gut: Wiktionary

Business (2 matching dictionaries)
  1. split a_gut: Legal dictionary
  2. split a_gut: Financial dictionary

Computing (1 matching dictionary)
  1. split a_gut: Encyclopedia

Medicine (1 matching dictionary)
  1. split a_gut: Medical dictionary

Miscellaneous (1 matching dictionary)
  1. split a_gut: Idioms

Definitions from Wiktionary (split a gut)

verb:  To lose one's temper.
verb:  Alternative form of bust a gut (any sense) [(slang) To work or try very hard.]

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