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.
The most common commercially available FFV in the world market is the ethanol flexible-fuel vehicle, with about 49 million automobiles, motorcycles and light duty trucks manufactured and sold worldwide by mid 2015, and concentrated in four markets, Brazil (29.5 million by mid 2015), the United States (17.4 million by the end of 2014), Canada (1.6 ...