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A 58-year-old man presents to the emergency department with a 3-day history of abdominal pain and inability to pass stool or flatus. On examination, his abdomen is markedly distended, and he has visible abdominal bloating. Vomiting is minimal. The physician suspects large bowel obstruction.
Which clinical finding is most likely to support the diagnosis?
a. Persistent projectile vomiting
b. Gross abdominal distention
c. Severe hematemesis
d. Increased urinary frequency
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