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.
Though technology exists to allow ethanol FFVs to run on any mixture of gasoline and ethanol, from pure gasoline up to 100% ethanol (E100), North American and European flex-fuel vehicles are optimized to run on E85, a blend of 85% anhydrous ethanol fuel with 15% gasoline.