Pane ca' meusa is a sesame-seeded vastedda bun stuffed with veal spleen, lung and trachea boiled then fried in lard, served maritato with caciocavallo and ricotta or schietto with lemon, the most distinctive Palermitan street food.

Pane ca' meusa traces to medieval Palermitan Jewish butchers in the Giudecca quarter, who could not eat the pork that Sicilian Christians did. After the 1492 Spanish expulsion of Sicilian Jews, Christian butchers inherited the spleen-sandwich tradition; it has been sold at Palermo street counters continuously for 500 years. Antica Focacceria San Francesco has served it since 1834.

3 editor picks for Pane ca' meusa in Palermo, ranked by editorial score. All Palermo signature dishes · Pane ca' meusa across every city.