Pani ca meusa is a Sicilian

Sicily

Sicily is a region of Italy, and is the largest island in the Mediterranean Sea. Along with the surrounding minor islands, it constitutes an autonomous region of Italy, the Regione Autonoma Siciliana Sicily has a rich and unique culture, especially with regard to the arts, music, literature,...

 example of street food

Street food

Street food is ready-to-eat food or drink sold in a street or other public place, such as a market or fair, by a hawker or vendor, often from a portable stall. While some street foods are regional, many are not, having spread beyond their region of origin. Most street food are both finger and fast...

. Litterally its name means bread with spleen

Spleen

The spleen is an organ found in virtually all vertebrate animals with important roles in regard to red blood cells and the immune system. In humans, it is located in the left upper quadrant of the abdomen. It removes old red blood cells and holds a reserve of blood in case of hemorrhagic shock...

, the italians

Italy

Italy , officially the Italian Republic languages]] under the European Charter for Regional or Minority Languages. In each of these, Italy's official name is as follows:;;;;;;;;), is a unitary parliamentary republic in South-Central Europe. To the north it borders France, Switzerland, Austria and...

 call it panino con la milza. It is a dish tipical exclusively from Palermo

Palermo

Palermo is a city in Southern Italy, the capital of both the autonomous region of Sicily and the Province of Palermo. The city is noted for its history, culture, architecture and gastronomy, playing an important role throughout much of its existence; it is over 2,700 years old...

 and it consists of a soft bread (locally called Vastedda

Vastedda

Vastedda is the traditional Sicilian bread usrd to prepaer the Pani ca meusa a sandwich made of cow spleen. It often also includes toppings of parmesan and ricotta cheese. It is most common in the city of Palermo....

or vastella) flavoured with sesame

Sesame

Sesame is a flowering plant in the genus Sesamum. Numerous wild relatives occur in Africa and a smaller number in India. It is widely naturalized in tropical regions around the world and is cultivated for its edible seeds, which grow in pods....

 stuffed with chopped veal's lung and spleen that had been boiled and after fried in the lard

Lard

Lard is pig fat in both its rendered and unrendered forms. Lard was commonly used in many cuisines as a cooking fat or shortening, or as a spread similar to butter. Its use in contemporary cuisine has diminished because of health concerns posed by its saturated-fat content and its often negative...

. On request it could be added also caciocavallo

Caciocavallo

Caciocavallo is a type of stretched-curd cheese made out of sheep's or cow's milk. It is produced throughout Southern Italy, especially mostly on the Apennine Mountains...

 or ricotta

Ricotta

Ricotta is an Italian dairy product made from sheep milk whey left over from the production of cheese. Although typically referred to as ricotta cheese, ricotta is not properly a cheese because it is not produced by coagulation of casein...

, in this case the pani ca meusa is said (sicilian) maritatu (married), if served without is said (sicilian)schettu (single). It is sold mainly by peddlers (specifically indicated locally as meusari) in Palermo's main markets as the Vucciria and the Ballarò.