A 23-year-old Australian woman has had surgery after being gored in the back by a bull as she clung to a barrier during Spain's annual running of the bulls festival.
The woman suffered multiple rib fractures and damage to her right lung on the final day of the San Fermin festival in Pamplona on Sunday, local authorities said.
The woman, identified by her initials J.E, was from NSW, a Department of Foreign Affairs and Trade spokeswoman said.
She had been clinging to barriers outside the bullring entrance when she was struck by a massive Miura bull, regional health authority spokesman Javier Sesma said.
Four other people were injured in Sunday's bull run but they suffered only minor cuts and bruises.
In keeping with Spain's tradition, six bulls and six steers were set loose for the mad dash through Pampola's cobbled streets to the bullring, along with hundreds of thrillseekers.
The animals were killed by matadors once they reached the ring.
A total of 50 people were hospitalised during this year's nine day festival.
On Friday three men were gored, including an American who needed to have his spleen removed.
On Saturday more than 20 people were hospitalised after runners tripped near the entrance of the ring, causing a pileup.
Last year, 38 people were hospitalised during the festival including four men who were pierced by a bull's horn.