Serie A leaders Napoli are out of the Coppa Italia after a last-16 penalty shootout defeat by Cremonese.

The visitors, bottom of Italy’s top flight, took the lead through Charles Pickel.

Napoli stunned by Cremonese in Coppa Italia
Stanislav Lobotka holds his head in his hands after missing Napoli’s fourth spot-kick

First-half goals from Juan Jesus and Giovanni Simeone turned the game on its head, but Felix Afena-Gyan levelled late on.

Cremonese’s Leonardo Sernicola was sent off in extra time, but the visitors prevailed 5-4 in the shootout.

Stanislav Lobotka missed Napoli’s fourth spot-kick, while Cremonese scored all five of theirs to stun the 2019-20 winners.

Napoli stunned by Cremonese in Coppa Italia
Cremonese are bottom of Serie A without a win in Italy’s top flight this season

Luciano Spalletti’s side are nine points clear at the top of Serie A, having thumped third-placed Juventus 5-1 on Friday.

Cremonese are without a win in Serie A this season, leaving them stranded at the foot of the table and nine points adrift of safety.