A foreign function interface that's based on parsing C files must translate C types and interfaces into types and interfaces of the target language. I suppose it helped that D's type system has many similarities with C, including support for pointers.

(The issue with return-by-pointer is that in C it's common to use the return value for an error code and use pointer arguments to pass data back to the caller. These are awkward to map to a target language that doesn't have pointers)