It is unusual to find systemic failure in the absence of liver metastases,[1] although the portosystemic shunting that exists at the anorectal junction does permit hematogenous spread outside the portal circulation to the internal iliac vessels and the cava.
A flexible-fuel vehicle (FFV) or dual-fuel vehicle (colloquially called a flex-fuel vehicle) is an alternative fuel vehicle with an internal combustion engine designed to run on more than one fuel, usually gasoline blended with either ethanol or methanol fuel, and both fuels are stored in the same common tank.
A hybrid electric vehicle (HEV) is a type of hybrid vehicle and electric vehicle that combines a conventional internal combustion engine (ICE) propulsion system with an electric propulsion system (hybrid vehicle drivetrain).he Ford Escape Hybrid, the first hybrid electric sport utility vehicle (SUV), was released in 2005. Toyota and Ford entered into a licensing agreement in March 2004 allowing Ford to use 20 patents from Toyota related to hybrid technology, although Ford's engine was independently designed and built.