Final answer:
Volatile anesthetic immune mediated liver injury is thought to occur through a mechanism involving immune reactions, specifically type IV hypersensitivity reactions.
Step-by-step explanation:
Volatile anesthetic immune mediated liver injury is thought to occur through a mechanism involving immune reactions, specifically type IV hypersensitivity reactions. These reactions are T-cell-mediated and can cause tissue damage mediated by activated macrophages and cytotoxic T cells. The exact mechanism by which volatile anesthetics trigger these immune reactions is not fully understood, but it is believed to involve the metabolism of the anesthetics and the formation of reactive metabolites. These metabolites can then induce an immune response that targets liver cells, leading to liver injury.