A sexual practice between two or more people which involves the insertion of a hookah pipe inside a person's rectum, after which the receiver of this procedure is made to smoke from aforementioned hookah pipe. Much like the famous practice of "ass-to-mouth" with the difference of the male genetalia being replaced by a different object still phallic in its physical nature, in this case a hookah pipe.
-Bro did you hear about Dave getting an Algerian enema last night?
-Damn bro his breath must smell like shit?