An absorbent article having a material formed as a single piece having two enlarged end portions and a narrowed portion intermediate the enlarged end portions and arranged for wearing by an individual. The material includes a fluid permeable topsheet, a fluid impermeable backsheet and an absorbent layer disposed between the fluid permeable topsheet and the fluid impermeable backsheet. Integral pleats extending along opposed side of a longitudinal centerline of the material between the enlarged end portions are provided for expanding at least the absorbent layer and the fluid impermeable backsheet away from the skin of the individual for collection of fecal matter.