Splanchnic nerve block is effective in relief of upper abdominal cancer pain. But we often get confused at the unexpected complaints of pain accompanying a metastatic of referred origin in spite of the precise block under image intensifier. We could found aut a thermographic change from the diffuse hyperemission state of abdomen before the block to the localized state after the block. It may be helpful in differentiating objectively the accuracy of the block at the unexpected complaints of pain by using thermography before and after the block.