Question of the Week
For December 7, 2021
A 70-year-old man who is currently hospitalized for treatment of acute pancreatitis reports increasing abdominal pain. His gastroenterologist recommends a contrast-enhanced CT scan of the abdomen and pelvis to evaluate for pancreatic necrosis. While you are counseling the patient about the risks and benefits of this study, he mentions that many years ago he had an allergic reaction, including flushing, pruritus, and wheezing, about one hour after receiving intravenous contrast. He has not received intravenous contrast since then.
Which one of the following next steps is most appropriate for this patient?