Which finding indicates paralytic ileus in pancreatitis patient?

Correct option is D

Paralytic ileus presents with abdominal distension and a firm, gas-filled, non-tender mass from bowel stasis, often noticeable near the costal margin. Explanation of options:
· (a) ✘ May indicate obstruction but not specific.
· (b) ✘ Suggests neurological deficit, not ileus.
· (c) ✘ Common in pancreatitis, but not specific to ileus.
· (d) ✔ Suggests paralytic ileus from bowel stasis.