diff --git a/src/main/scala/se/nimsa/dicom/streams/DicomFlows.scala b/src/main/scala/se/nimsa/dicom/streams/DicomFlows.scala
index f960dce..0de2819 100644
--- a/src/main/scala/se/nimsa/dicom/streams/DicomFlows.scala
+++ b/src/main/scala/se/nimsa/dicom/streams/DicomFlows.scala
@@ -372,7 +372,7 @@ object DicomFlows {
       override def onSequenceDelimitation(part: SequenceDelimitationPart): List[DicomPart] =
         super.onSequenceDelimitation(part) ::: (
           if (part.bytes.isEmpty)
-            SequenceDelimitationPart(part.bigEndian, itemDelimitation(part.bigEndian)) :: Nil
+            SequenceDelimitationPart(part.bigEndian, sequenceDelimitation(part.bigEndian)) :: Nil
           else
             Nil)
 
diff --git a/src/main/scala/se/nimsa/dicom/streams/ModifyFlow.scala b/src/main/scala/se/nimsa/dicom/streams/ModifyFlow.scala
index 842241f..ca2f80c 100644
--- a/src/main/scala/se/nimsa/dicom/streams/ModifyFlow.scala
+++ b/src/main/scala/se/nimsa/dicom/streams/ModifyFlow.scala
@@ -19,10 +19,9 @@ package se.nimsa.dicom.streams
 import akka.NotUsed
 import akka.stream.scaladsl.Flow
 import akka.util.ByteString
-import se.nimsa.dicom.data.isFileMetaInformation
 import se.nimsa.dicom.data.DicomParts._
 import se.nimsa.dicom.data.TagPath.{EmptyTagPath, TagPathTag}
-import se.nimsa.dicom.data.{Dictionary, TagPath, VR}
+import se.nimsa.dicom.data.{Dictionary, TagPath, VR, isFileMetaInformation}
 
 object ModifyFlow {
 
diff --git a/src/test/scala/se/nimsa/dicom/streams/ModifyFlowTest.scala b/src/test/scala/se/nimsa/dicom/streams/ModifyFlowTest.scala
index 50aba56..0f7182d 100644
--- a/src/test/scala/se/nimsa/dicom/streams/ModifyFlowTest.scala
+++ b/src/test/scala/se/nimsa/dicom/streams/ModifyFlowTest.scala
@@ -430,4 +430,23 @@ class ModifyFlowTest extends TestKit(ActorSystem("ModifyFlowSpec")) with FlatSpe
       .expectValueChunk(mikeBytes)
       .expectDicomComplete()
   }
+
+  it should "not emit sequence and item delimiters for data with explicit length sequences and items" in {
+    val bytes = patientNameJohnDoe() ++
+      sequence(Tag.DerivationCodeSequence, 24) ++
+      item(16) ++ studyDate()
+
+    val source = Source.single(bytes)
+      .via(parseFlow)
+      .via(modifyFlow())
+
+    source.runWith(TestSink.probe[DicomPart])
+      .expectHeader(Tag.PatientName)
+      .expectValueChunk()
+      .expectSequence(Tag.DerivationCodeSequence, 24)
+      .expectItem(1, 16)
+      .expectHeader(Tag.StudyDate)
+      .expectValueChunk()
+      .expectDicomComplete()
+  }
 }