Metro systems in urban cities demand rapid inspection methods, in order to identify critical structural defects in a timely manner. However, traditional inspection methods are only specific to one kind of structural defect, which reduces the overall efficiency of inspection. This study proposes an integrated solution for rapidly acquiring and identifying two kinds of structural defects (surface defects and cross-sectional deformation) in a metro tunnel, using a cart equipped with non-metric cameras. The integrity and rapidity are considered in formulating a systematic design for the development of the acquisition device. Methodologies based on image processing and photogrammetry are proposed to identify the structural defects of the metro tunnel. A series of on-site tests validate that the proposed method has enough speed and has acceptable accuracy in detecting critical structural defects of metro tunnels. The cost and efficiency analysis shows that the proposed method is competitive, which will greatly improve the efficiency and reduce the costs of the inspection of metro tunnels.