A personal care article for preventing exudates from contacting the body of a user comprises a substrate including an extensible bodyside liner layer, and an aperture support structure limiting extensibility of the bodyside liner layer along the length of the aperture support structure. One support band of an aperture support structure runs through the gluteal fold between the buttocks of a user. The aperture support structure positions an aperture in the bodyside liner layer in the gluteal fold of a user, in alignment with the anus, so that fecal material enters a containment receptacle upon leaving the anus. In another embodiment, the personal care article can include a comfort stretch layer comprising an elastomeric, hot melt, pressure-sensitive adhesive located between a bodyside liner layer and an outer layer. Elastomeric elements can follow the outside edges along the length of the personal care article and then curve inwardly at the crotch portion and cross each other at a cooperative location frontward of the aperture and corresponding to the perineum of a user. The personal care article can also have a first length at rest, and a second length when secured to the body of a user, the second length being at least 30% greater than the first length.