Ogilivie syndrome, which is also known as pseudo obstruction is acute dilatation of the colon without any mechanical obstruction in severely ill patients(1). This is a rare association of Ogilvie syndrome with alcoholic liver disease following paracentesis. A series of investigations were carried out to establish the diagnoses and torule out any mechanical obstruction which is of utmost importance before planning the treatment. Diagnoses was confirmed on CECT abdomen and water-soluble enema. Patient was treated conservatively and recovered without any further complications.