diff --git a/test/integration/accessibility_spec.mjs b/test/integration/accessibility_spec.mjs
index 41f84adb100da..2c04b5f00c0b3 100644
--- a/test/integration/accessibility_spec.mjs
+++ b/test/integration/accessibility_spec.mjs
@@ -498,4 +498,50 @@ describe("accessibility", () => {
       );
     });
   });
+
+  describe("Text elements must be aria-hidden when there's MathML and annotations", () => {
+    let pages;
+
+    beforeEach(async () => {
+      pages = await loadAndWait("bug2009627.pdf", ".textLayer");
+    });
+
+    afterEach(async () => {
+      await closePages(pages);
+    });
+
+    it("must check that the text in text layer is aria-hidden", async () => {
+      await Promise.all(
+        pages.map(async ([browserName, page]) => {
+          const isSanitizerSupported = await page.evaluate(() => {
+            try {
+              // eslint-disable-next-line no-undef
+              return typeof Sanitizer !== "undefined";
+            } catch {
+              return false;
+            }
+          });
+          const ariaHidden = await page.evaluate(() =>
+            Array.from(
+              document.querySelectorAll(".structTree :has(> math)")
+            ).map(el =>
+              document
+                .getElementById(el.getAttribute("aria-owns"))
+                .getAttribute("aria-hidden")
+            )
+          );
+          if (isSanitizerSupported) {
+            expect(ariaHidden)
+              .withContext(`In ${browserName}`)
+              .toEqual(["true", "true", "true"]);
+          } else {
+            // eslint-disable-next-line no-console
+            console.log(
+              `Pending in Chrome: Sanitizer API (in ${browserName}) is not supported`
+            );
+          }
+        })
+      );
+    });
+  });
 });
diff --git a/test/pdfs/.gitignore b/test/pdfs/.gitignore
index 7b1a154a0ef1c..7c5d8ab4bd448 100644
--- a/test/pdfs/.gitignore
+++ b/test/pdfs/.gitignore
@@ -867,3 +867,4 @@
 !bitmap-trailing-7fff-stripped.pdf
 !bitmap.pdf
 !bomb_giant.pdf
+!bug2009627.pdf
diff --git a/test/pdfs/bug2009627.pdf b/test/pdfs/bug2009627.pdf
new file mode 100755
index 0000000000000..0b8189108f9b0
Binary files /dev/null and b/test/pdfs/bug2009627.pdf differ
diff --git a/web/pdf_page_view.js b/web/pdf_page_view.js
index fc75a9fd036ff..15968a8f28b51 100644
--- a/web/pdf_page_view.js
+++ b/web/pdf_page_view.js
@@ -493,7 +493,7 @@ class PDFPageView extends BasePDFPageView {
     const treeDom = await this.structTreeLayer?.render();
     if (treeDom) {
       this.l10n.pause();
-      this.structTreeLayer?.addElementsToTextLayer();
+      this.structTreeLayer?.updateTextLayer();
       if (this.canvas && treeDom.parentNode !== this.canvas) {
         // Pause translation when inserting the structTree in the DOM.
         this.canvas.append(treeDom);
diff --git a/web/struct_tree_layer_builder.js b/web/struct_tree_layer_builder.js
index a2d1524a79f8c..8f561eac5d319 100644
--- a/web/struct_tree_layer_builder.js
+++ b/web/struct_tree_layer_builder.js
@@ -184,6 +184,10 @@ class StructTreeLayerBuilder {
 
   #elementsToAddToTextLayer = null;
 
+  #elementsToHideInTextLayer = null;
+
+  #elementsToStealFromTextLayer = null;
+
   /**
    * @param {StructTreeLayerBuilderOptions} options
    */
@@ -304,15 +308,49 @@ class StructTreeLayerBuilder {
     return true;
   }
 
-  addElementsToTextLayer() {
-    if (!this.#elementsToAddToTextLayer) {
-      return;
+  updateTextLayer() {
+    if (this.#elementsToAddToTextLayer) {
+      for (const [id, img] of this.#elementsToAddToTextLayer) {
+        document.getElementById(id)?.append(img);
+      }
+      this.#elementsToAddToTextLayer.clear();
+      this.#elementsToAddToTextLayer = null;
     }
-    for (const [id, img] of this.#elementsToAddToTextLayer) {
-      document.getElementById(id)?.append(img);
+    if (this.#elementsToHideInTextLayer) {
+      for (const id of this.#elementsToHideInTextLayer) {
+        const elem = document.getElementById(id);
+        if (elem) {
+          elem.ariaHidden = true;
+        }
+      }
+      this.#elementsToHideInTextLayer.length = 0;
+      this.#elementsToHideInTextLayer = null;
+    }
+    if (this.#elementsToStealFromTextLayer) {
+      for (
+        let i = 0, ii = this.#elementsToStealFromTextLayer.length;
+        i < ii;
+        i += 2
+      ) {
+        const element = this.#elementsToStealFromTextLayer[i];
+        const ids = this.#elementsToStealFromTextLayer[i + 1];
+        let textContent = "";
+        for (const id of ids) {
+          const elem = document.getElementById(id);
+          if (elem) {
+            textContent += elem.textContent.trim() || "";
+            // Aria-hide the element in order to avoid duplicate reading of the
+            // math content by screen readers.
+            elem.ariaHidden = "true";
+          }
+        }
+        if (textContent) {
+          element.textContent = textContent;
+        }
+      }
+      this.#elementsToStealFromTextLayer.length = 0;
+      this.#elementsToStealFromTextLayer = null;
     }
-    this.#elementsToAddToTextLayer.clear();
-    this.#elementsToAddToTextLayer = null;
   }
 
   #walk(node) {
@@ -325,21 +363,13 @@ class StructTreeLayerBuilder {
       const { role } = node;
       if (MathMLElements.has(role)) {
         element = document.createElementNS(MathMLNamespace, role);
-        let text = "";
+        const ids = [];
+        (this.#elementsToStealFromTextLayer ||= []).push(element, ids);
         for (const { type, id } of node.children || []) {
-          if (type !== "content" || !id) {
-            continue;
+          if (type === "content" && id) {
+            ids.push(id);
           }
-          const elem = document.getElementById(id);
-          if (!elem) {
-            continue;
-          }
-          text += elem.textContent.trim() || "";
-          // Aria-hide the element in order to avoid duplicate reading of the
-          // math content by screen readers.
-          elem.ariaHidden = "true";
         }
-        element.textContent = text;
       } else {
         element = document.createElement("span");
       }
@@ -365,10 +395,7 @@ class StructTreeLayerBuilder {
             if (!id) {
               continue;
             }
-            const elem = document.getElementById(id);
-            if (elem) {
-              elem.ariaHidden = true;
-            }
+            (this.#elementsToHideInTextLayer ||= []).push(id);
           }
           // For now, we don't want to keep the alt text if there's valid
           // MathML (see https://github.com/w3c/mathml-aam/issues/37).