diff --git a/docling/backend/mspowerpoint_backend.py b/docling/backend/mspowerpoint_backend.py
index 0452e02168..611d076d7b 100644
--- a/docling/backend/mspowerpoint_backend.py
+++ b/docling/backend/mspowerpoint_backend.py
@@ -1166,11 +1166,45 @@ def _rasterize_metafile(self, image_bytes: bytes) -> Optional[Image.Image]:
         finally:
             shutil.rmtree(temp_dir, ignore_errors=True)
 
-    def _handle_pictures(self, shape, parent_slide, slide_ind, doc, slide_size):
+    @staticmethod
+    def _picture_fill_rid(shape) -> Optional[str]:
+        """Return the relationship id of a shape's embedded picture fill.
+
+        A shape filled with a picture (Format Shape > Fill > Picture) is a
+        ``p:sp`` whose ``p:spPr`` holds an ``a:blipFill``; python-pptx reads it
+        as an ``Autoshape``, not a ``Picture``. Other fill kinds give ``None``.
+        A picture fill without an embedded image (for example one that only
+        links an external file with ``r:link``) also gives ``None``, with a
+        warning, because its image is not in the package.
+        """
+        sp_pr = shape._element.find(qn("p:spPr"))
+        if sp_pr is None:
+            return None
+        blip = sp_pr.find(f"{qn('a:blipFill')}/{qn('a:blip')}")
+        if blip is None:
+            return None
+        rid = blip.get(qn("r:embed"))
+        if not rid:
+            warnings.warn(
+                "Skipping picture fill without an embedded image",
+                UserWarning,
+                stacklevel=2,
+            )
+            return None
+        return rid
+
+    def _handle_pictures(
+        self, shape, parent_slide, slide_ind, doc, slide_size, fill_rid=None
+    ):
         # Read the picture out of the package. A shape that slips past other
         # tools' parsers can still fail here, and there is nothing to record.
         try:
-            image = shape.image
+            if fill_rid is None:
+                image = shape.image
+            else:
+                # The picture fill of an ordinary shape lives in the image part
+                # its a:blip references.
+                image = shape.part.related_part(fill_rid).image
             image_bytes = image.blob
             im_dpi, _ = image.dpi
             prov = self._generate_prov(shape, slide_ind, "", slide_size)
@@ -1899,6 +1933,18 @@ def handle_shape_content(shape, parent_slide, slide_ind, doc, slide_size):
                 # If shape doesn't have any text, move on to the next shape
                 if not isinstance(shape, Shape):
                     return
+                fill_rid = self._picture_fill_rid(shape)
+                if fill_rid is not None:
+                    # A shape filled with a picture: keep the image like a p:pic,
+                    # then any text the shape also carries.
+                    self._handle_pictures(
+                        shape,
+                        parent_slide,
+                        slide_ind,
+                        doc,
+                        slide_size,
+                        fill_rid=fill_rid,
+                    )
                 if shape.text is None:
                     return
                 if not shape.has_text_frame:
diff --git a/tests/test_backend_pptx_picture_fill.py b/tests/test_backend_pptx_picture_fill.py
new file mode 100644
index 0000000000..e33b1f542d
--- /dev/null
+++ b/tests/test_backend_pptx_picture_fill.py
@@ -0,0 +1,141 @@
+# SPDX-FileCopyrightText: The Docling Contributors
+# SPDX-License-Identifier: MIT
+
+"""Tests for PowerPoint shapes filled with a picture (``a:blipFill``)."""
+
+import warnings
+from io import BytesIO
+from pathlib import Path
+
+import pytest
+from lxml import etree
+from PIL import Image
+from pptx import Presentation
+from pptx.enum.shapes import MSO_SHAPE
+from pptx.oxml.ns import qn
+from pptx.util import Inches
+
+from .test_backend_pptx import get_converter
+
+
+def _picture_filled_shape_pptx(
+    path: Path, text: str = "", embed: bool = True, r_id: str | None = None
+):
+    """Save a one-slide PPTX with a rectangle filled with a 64x32 PNG.
+
+    ``r_id`` overrides the relationship id the fill points to.
+    """
+    png = BytesIO()
+    Image.new("RGB", (64, 32), "red").save(png, "PNG")
+
+    prs = Presentation()
+    slide = prs.slides.add_slide(prs.slide_layouts[6])
+    shape = slide.shapes.add_shape(
+        MSO_SHAPE.RECTANGLE, Inches(1), Inches(1), Inches(2), Inches(1)
+    )
+    if text:
+        shape.text_frame.text = text
+    _, image_r_id = shape.part.get_or_add_image_part(BytesIO(png.getvalue()))
+
+    blip_fill = etree.Element(qn("a:blipFill"))
+    blip = etree.SubElement(blip_fill, qn("a:blip"))
+    blip.set(qn("r:embed" if embed else "r:link"), r_id or image_r_id)
+    etree.SubElement(etree.SubElement(blip_fill, qn("a:stretch")), qn("a:fillRect"))
+    shape._element.spPr.find(qn("a:prstGeom")).addnext(blip_fill)
+    prs.save(path)
+
+
+def test_pptx_picture_filled_shape_is_extracted(tmp_path: Path):
+    """A shape filled with a picture gives a picture item."""
+    pptx_path = tmp_path / "blipfill.pptx"
+    _picture_filled_shape_pptx(pptx_path)
+
+    doc = get_converter().convert(pptx_path).document
+
+    assert len(doc.pictures) == 1
+    picture = doc.pictures[0]
+    assert picture.image is not None
+    assert picture.image.mimetype == "image/png"
+    assert picture.image.size.width == 64.0
+    assert picture.image.size.height == 32.0
+    assert picture.prov and picture.prov[0].page_no == 1
+    assert picture.prov[0].bbox.width > 0
+
+
+def test_pptx_picture_filled_shape_keeps_its_text(tmp_path: Path):
+    """The text of a picture-filled shape is kept next to the picture."""
+    pptx_path = tmp_path / "blipfill_text.pptx"
+    _picture_filled_shape_pptx(pptx_path, text="Caption on the fill")
+
+    doc = get_converter().convert(pptx_path).document
+
+    assert len(doc.pictures) == 1
+    assert [t.text for t in doc.texts] == ["Caption on the fill"]
+
+
+def test_pptx_linked_picture_fill_is_ignored(tmp_path: Path):
+    """A picture fill that only links an external image adds no picture."""
+    pptx_path = tmp_path / "blipfill_link.pptx"
+    _picture_filled_shape_pptx(pptx_path, text="Linked fill", embed=False)
+
+    with pytest.warns(UserWarning, match="picture fill without an embedded image"):
+        doc = get_converter().convert(pptx_path).document
+
+    assert len(doc.pictures) == 0
+    assert [t.text for t in doc.texts] == ["Linked fill"]
+
+
+def test_pptx_picture_fill_with_missing_part_is_skipped(tmp_path: Path):
+    """A fill pointing at a missing relationship is skipped, text is kept."""
+    pptx_path = tmp_path / "blipfill_dangling.pptx"
+    _picture_filled_shape_pptx(pptx_path, text="Dangling fill", r_id="rId999")
+
+    with pytest.warns(UserWarning, match="Skipping malformed picture shape"):
+        doc = get_converter().convert(pptx_path).document
+
+    assert len(doc.pictures) == 0
+    assert [t.text for t in doc.texts] == ["Dangling fill"]
+
+
+@pytest.mark.parametrize(
+    "xml",
+    [
+        # No p:spPr at all.
+        '<p:sp xmlns:p="{p}"/>',
+        # p:spPr with a non-picture fill.
+        '<p:sp xmlns:p="{p}" xmlns:a="{a}"><p:spPr><a:solidFill/></p:spPr></p:sp>',
+    ],
+    ids=["no_sppr", "solid_fill"],
+)
+def test_picture_fill_rid_without_picture_fill(xml: str):
+    """Shapes without a picture fill give no relationship id and no warning."""
+    with warnings.catch_warnings():
+        warnings.simplefilter("error")
+        assert _picture_fill_rid_from_xml(xml) is None
+
+
+def test_picture_fill_rid_with_empty_embed_warns():
+    """A picture fill with an empty r:embed gives no relationship id."""
+    xml = (
+        '<p:sp xmlns:p="{p}" xmlns:a="{a}" xmlns:r="{r}"><p:spPr><a:blipFill>'
+        '<a:blip r:embed=""/></a:blipFill></p:spPr></p:sp>'
+    )
+    with pytest.warns(UserWarning, match="picture fill without an embedded image"):
+        assert _picture_fill_rid_from_xml(xml) is None
+
+
+def _picture_fill_rid_from_xml(xml: str):
+    from types import SimpleNamespace
+
+    from docling.backend.mspowerpoint_backend import MsPowerpointDocumentBackend
+
+    element = etree.fromstring(
+        xml.format(
+            p="http://schemas.openxmlformats.org/presentationml/2006/main",
+            a="http://schemas.openxmlformats.org/drawingml/2006/main",
+            r="http://schemas.openxmlformats.org/officeDocument/2006/relationships",
+        )
+    )
+    return MsPowerpointDocumentBackend._picture_fill_rid(
+        SimpleNamespace(_element=element)
+    )