diff --git a/openhtmltopdf-pdfbox/src/main/java/com/openhtmltopdf/pdfboxout/PdfBoxAccessibilityHelper.java b/openhtmltopdf-pdfbox/src/main/java/com/openhtmltopdf/pdfboxout/PdfBoxAccessibilityHelper.java
index 0258e9cbd..31b91d7a5 100644
--- a/openhtmltopdf-pdfbox/src/main/java/com/openhtmltopdf/pdfboxout/PdfBoxAccessibilityHelper.java
+++ b/openhtmltopdf-pdfbox/src/main/java/com/openhtmltopdf/pdfboxout/PdfBoxAccessibilityHelper.java
@@ -913,7 +913,9 @@ private COSDictionary createMarkedContentDictionary() {
     
     private void ensureAncestorTree(AbstractTreeItem child, Box parent) {
         // Walk up the ancestor tree making sure they all have accessibility objects.
+        boolean newAccessibilityObjectCreated=false;
         while (parent != null && parent.getAccessibilityObject() == null) {
+            newAccessibilityObjectCreated=true;
             AbstractStructualElement parentItem = createStructureItem(null, parent);
             parent.setAccessiblityObject(parentItem);
             
@@ -923,6 +925,11 @@ private void ensureAncestorTree(AbstractTreeItem child, Box parent) {
             child = parentItem;
             parent = parent.getParent();
         }
+        if(newAccessibilityObjectCreated) {
+            AbstractStructualElement alreadyExistingAccessibilityObject = (AbstractStructualElement) parent.getAccessibilityObject();
+            child.parent = alreadyExistingAccessibilityObject;
+            alreadyExistingAccessibilityObject.addChild(child);
+        }
     }
     
     private AbstractStructualElement createStructureItem(StructureType type, Box box) {