> The rank-2 type (that is, the type s is scoped within the parenthesis and can't escape) of runST ensures that the mutable references created inside the computation cannot escape due to being tagged with the type s. Internally, all sorts of imperative nonsense may occur. Externally, the function is pure. The world outside the boundary gets none of the mutation, only the result.

C does not have parametric polymorphism, nor rank-2 quantifications, so no, this cannot be done in C.