45-year-old male patient was admitted to hospital with the productive cough and occasional white sputum for 5 years. The male patient had a past history of pulmonary tuberculosis (21 years ago; unavailable medical records). There was no such history as hemoptysis, loss of appetite, weight loss nor fever. He worked on the highland for long term. The remainder of history was unremarkable. Physical examination was unremarkable. Chest CT scan showed anterior wall of the trachea mucosa was less smooth as well as partial visible flat elevation. Bronchoscopy showed left and front wall surface of tracheal with multiple nodular eminences, hard texture and nodules spread to the carina. Spirometric test showed residual volume to total lung capacity percentage increased slightly. Histopathologic examination showed chronic inflammation of bronchial mucosa with interstitial ossification. The diagnosis was TPO. What is more, during the hospitalization, the patient once appeared sudden abdominal pain, hematochezia. Snap multiple liquid gases flat was found in abdominal plain film. Diagnosis was intestinal obstruction. One colonoscopy check in the mirror at 65 cm showed that a cauliflower like uplift surface hyperemia, erosion pollution moss covered margin irregularly. Histopathologic examination of biopsy sample was reported as a moderately differentiated adenocarcinoma. The patient received surgical operation treatment.