A Patient Reports a Sudden Onset of Constant, Sharp Abdominal

A patient reports a sudden onset of constant, sharp abdominal pain radiating to the back. The examiner notes both direct and rebound tenderness with palpation of the abdomen. What is the significance of this finding?

A) Compression of the common bile duct
B) Presence of a pancreatic pseudocyst
C) Retroperitoneal hemorrhage
D) Severe acute pancreatitis with peritonitis